Christopher Everson

Individual provider Active NPI Physical Therapy Assistant · Holden, MA

NPI 1164070199 · NPPES record last updated Sep 3, 2019

Key facts

NPI
1164070199
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
1103 Main St
Holden, MA 01520-1219
Phone
(508) 829-3900
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

1103 Main St
Holden, MA 01520-1219

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002

Other providers in Holden, MA

All providers in Holden, MA · Physical Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.