Healthcare Provider Details

I. General information

NPI: 1407725765
Provider Name (Legal Business Name): JOHN PRIEST RRT, NPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

41 ORCHARD DR
STOW MA
01775-1067
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-0167
  • Fax:
Mailing address:
  • Phone: 978-361-7183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberRT9763
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: