Judith Louise Peterman, D.C.
Individual provider Active NPI Chiropractor · Lee, MA
NPI 1013043181 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013043181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 512 (MA)
- Practice address
- 175 Summer St
Lee, MA 01238-1122 - Phone
- (413) 243-2983
- Fax
- (413) 243-0613
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 512 | MA | MD | Physical Therapy Clinic/Center |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 512 | MA | Yes |
Addresses
Primary practice location
175 Summer St
Lee, MA 01238-1122
Mailing address
175 Summer St
Lee, MA 01238-1122
Phone (413) 243-2983
Other providers in Lee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.