Davis, Mieka Lise

Davis, Mieka Lise is an sole proprietor health care provider with primary practice located at 20 South Street , Westborough MA 01581. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Davis, Mieka Lise can be contacted via phone (508) 277-4156.

Contact Information

Primary practice address
20 South Street Westborough MA 01581
Phone: (508) 277-4156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 771 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7426 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 771AT Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7426MT Massachusetts

Profile Details

NPI number 1558398107
LBN Legal business name Davis, Mieka Lise
Credentials ATC, CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Mar 31st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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