NPI | 1427009968 |
---|---|
Professional Name | THERESA MARIE MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C07896) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
363A00000X Physician Assistant (Licence: DC pa30116) | |
363A00000X Physician Assistant (Licence: VA 0110-84616) | |
363A00000X Physician Assistant (Licence: NC 0101180) | |
363A00000X Physician Assistant (Licence: OH 50-000766) | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-07-14 |