Healthcare Provider Details

I. General information

NPI: 1235054669
Provider Name (Legal Business Name): MCKENNA CULLA GALAHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W UNION ST
ASHLAND MA
01721-1499
US

IV. Provider business mailing address

315 A ST UNIT 1104
BOSTON MA
02210-1653
US

V. Phone/Fax

Practice location:
  • Phone: 508-767-5149
  • Fax:
Mailing address:
  • Phone: 971-279-3160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89603
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: