Kathleen Gibbons, ACUPUNCTURIST

Individual provider Active NPI Acupuncturist · Bolton, MA

NPI 1932265014 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932265014
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
557 (MA)
Practice address
334 Berlin Rd
Bolton, MA 01740-1322
Phone
(978) 779-0322
NPI assigned
Dec 31, 2006
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)
No

State licenses

LicenseStateTypeSpecialty
557MAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 557 MA Yes

Addresses

Primary practice location

334 Berlin Rd
Bolton, MA 01740-1322

Mailing address

334 Berlin Rd
Bolton, MA 01740-1322
Phone (978) 779-0322

Other providers in Bolton, MA

All providers in Bolton, MA · Acupuncturist in Massachusetts

Sources for this page

Verify at the official NPI Registry.