Healthcare Provider Details
I. General information
NPI: 1083221014
Provider Name (Legal Business Name): THE WELLNESS POINT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
569A SPRINGFIELD ST
FEEDING HILLS MA
01030-2105
US
IV. Provider business mailing address
569A SPRINGFIELD ST
FEEDING HILLS MA
01030-2105
US
V. Phone/Fax
- Phone: 413-612-4360
- Fax: 413-261-6242
- Phone: 413-612-4360
- Fax: 413-261-6242
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KELLY
OCONNOR
Title or Position: ACUPUNCTURIST/OWNER
Credential: DACM
Phone: 413-612-4360