Tom J Kleinman, LMT
Individual provider Active NPI Contractor · Great Barrington, MA
NPI 1497064489 · NPPES record last updated Sep 25, 2010
Key facts
- NPI
- 1497064489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 4257 (MA)
- Practice address
- 20 Stockbridge Rd
Ste 2
Great Barrington, MA 01230-1773 - Phone
- (413) 717-1612
- NPI assigned
- Sep 25, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | MA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Contractor | 171W00000X | 4257 | MA | Yes |
Addresses
Primary practice location
20 Stockbridge Rd
Ste 2
Great Barrington, MA 01230-1773
Mailing address
20 Stockbridge Rd
Ste 2
Great Barrington, MA 01230-1773
Phone (413) 717-1612
Other providers in Great Barrington, MA
- Bethany Suzanne Kelly
- Adam N Kerzner
- Denise Marie Kincaid
- Kind Care PLLC
- Martha Klay
- Frances Kollman
- Marah Koprowski
- Kathryn Korte
- Arthur Kraamwinkel
- Jacqueline Labonte
All providers in Great Barrington, MA · Contractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2010. 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.