Healthcare Provider Details

I. General information

NPI: 1194644757
Provider Name (Legal Business Name): RIVER VALLEY BODYWORKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 GOFFE ST STE B
HADLEY MA
01035-9494
US

IV. Provider business mailing address

8 GOFFE ST STE B
HADLEY MA
01035-9494
US

V. Phone/Fax

Practice location:
  • Phone: 413-387-0038
  • Fax:
Mailing address:
  • Phone: 413-387-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRYAN LAWRENCE CLARKE JR.
Title or Position: PRESIDENT
Credential: RN, LMT
Phone: 413-230-9354