Healthcare Provider Details

I. General information

NPI: 1134782204
Provider Name (Legal Business Name): TEND BODYWORKS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 NORTHAMPTON ST STE D
EASTHAMPTON MA
01027-1050
US

IV. Provider business mailing address

186 NORTHAMPTON ST STE D
EASTHAMPTON MA
01027-1050
US

V. Phone/Fax

Practice location:
  • Phone: 413-889-1874
  • Fax: 413-341-8050
Mailing address:
  • Phone: 413-889-1874
  • Fax: 413-341-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM BRADY
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: DPT
Phone: 413-889-1874