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360 NEUROMUSCULAR THERAPY, LLC
NPI 1700198306
Massage Therapist in Waltham, MA

Active since July 12, 2010
1077 LEXINGTON ST STE 202, WALTHAM, MA 02452(781) 444-3609(781) 209-7301 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 360 Neuromuscular Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

360 NEUROMUSCULAR THERAPY, LLC (NPI 1700198306) is a healthcare organization registered as a massage therapist in Waltham, Massachusetts and active in the NPI registry since July 2010. The organization lists Lisa Marie Erickson Gorman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1700198306
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business Name360 NEUROMUSCULAR THERAPY, LLC
Location Address1077 LEXINGTON ST STE 202Waltham, MA 02452-7233
Mailing Address1077 Lexington St Ste 202Waltham, MA 02452-7233 · (781) 444-3609 · Fax (781) 209-7301
Phone(781) 444-3609
Fax(781) 209-7301
Organization SubpartNo
Authorized OfficialLisa Marie Erickson GormanCo-owner · (781) 444-3609
Enumeration DateJuly 12, 2010
Last NPPES UpdateFebruary 22, 2019
✔ NPI 1700198306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MA · 167
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1077 LEXINGTON ST STE 202, Waltham, MA 02452
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 360 Neuromuscular Therapy, LLC's NPI number?

The NPI number for 360 Neuromuscular Therapy, LLC is 1700198306. It was assigned to this organization in the NPPES registry on July 12, 2010.

Where is 360 Neuromuscular Therapy, LLC located?

360 Neuromuscular Therapy, LLC is located at 1077 Lexington St Ste 202, Waltham, MA 02452. The listed phone number is (781) 444-3609.

What is 360 Neuromuscular Therapy, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for 360 Neuromuscular Therapy, LLC was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.