| Berkshire Integrative Healthcare Llc | |
|
42 Summer St Suite 301 Pittsfield MA 01201-4526 | |
| (413) 442-0085 | |
| (413) 464-9143 |
| Full Name | Berkshire Integrative Healthcare Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 42 Summer St, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Stephen Lewis Kisiel (PRESIDENT) |
| Authorized Official Contact | 4134420085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Integrative Healthcare Llc 42 Summer St Suite 301 Pittsfield MA 01201-4526 Ph: (413) 442-0085 | Berkshire Integrative Healthcare Llc 42 Summer St Suite 301 Pittsfield MA 01201-4526 Ph: (413) 442-0085 |
| NPI Number | 1861716714 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 03/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861716714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 4907LMHC (Massachusetts) | Secondary |
| 225100000X | Physical Therapist | 9592 (Massachusetts) | Primary |
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