Life Clinic Of Ma Pc | |
300 Boylston St, Chestnut Hill, MA 02467-1959 | |
(339) 927-4379 | |
Not Available |
Full Name | Life Clinic Of Ma Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 300 Boylston St, Chestnut Hill, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225568975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3387 (Massachusetts) | Primary |
225100000X | Physical Therapist | 22574 (Massachusetts) | Secondary |
Provider Name | Corey Samuelson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518390400 PECOS PAC ID: 2466686373 Enrollment ID: I20131009000152 |
Provider Name | Philip J. Gauthier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164891107 PECOS PAC ID: 9436469962 Enrollment ID: I20151112000705 |
Provider Name | Timothy J Kistler |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043366347 PECOS PAC ID: 2466402839 Enrollment ID: I20180308001489 |
Provider Name | Donald J Levin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811362734 PECOS PAC ID: 4981968922 Enrollment ID: I20180430000077 |
Provider Name | Kathryn Elizabeth Judd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851873855 PECOS PAC ID: 0143572578 Enrollment ID: I20181011002089 |
Provider Name | Scott Robert Durdin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780216382 PECOS PAC ID: 2365879459 Enrollment ID: I20200302002573 |
Provider Name | Amber Dunford |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467074559 PECOS PAC ID: 3274955869 Enrollment ID: I20210324000221 |
Mailing Address | Practice Location Address |
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Life Clinic Of Ma Pc Po Box 686, Chanhassen, MN 55317-0686 Ph: () - | Life Clinic Of Ma Pc 300 Boylston St, Chestnut Hill, MA 02467-1959 Ph: (339) 927-4379 |
Wren Burton, Chiropractor Medicare: Medicare Enrolled Practice Location: 850 Boylston St Ste 422, Chestnut Hill, MA 02467 Phone: 617-732-9700 | |
Dr. Matthew H Kowalski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 850 Boylston St Suite 422, Brigham And Women's Hospital, Chestnut Hill, MA 02467 Phone: 617-732-9700 Fax: 617-732-9480 | |
Osher Clinical Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 850 Boylston St, Suite 422, Chestnut Hill, MA 02467 Phone: 617-732-9700 |