Trevens Specific Chiropractic

NPI 1265639363 - Chiropractor - 111N00000X

NPI Details
NPI 1265639363
Enumeration Date 07/02/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLY M SHELLY
Position OWNER
Phone (617) 926-2884
Fax
Practice Location
3 MAIN ST
WATERTOWN MA, 02472-4402, US
Phone (617) 926-2884
Fax
Business Location
3 MAIN ST
WATERTOWN MA, 02472-4402, US
Phone (617) 926-2884
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Massachusetts
License Number 2090
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According to our database, Trevens Specific Chiropractic NPI is 1265639363, taxonomy code is 111N00000X and license number is 2090, license state is located at Massachusetts. Trevens Specific Chiropractic physically located at 3 Main St, Watertown MA, 02472-4402. NPI Number 1033115704 has the healthcare provider type.

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1265639363 NPI number is provided on an as is basis without warranty of any kind. 1265639363 is maintained by the National Plan & Provider Enumeration System. The contents of Trevens Specific Chiropractic are for informational purposes only.