Search › Massachusetts › 374J00000X
Tasha Waller
NPI 1134057060 · on the registry since 2026 · sole proprietor
Practice
- Address
- 700 Washington St # 300
Lynn, MA 01901 - Phone
- (781) 913-8742
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts