Healthcare Provider Details

I. General information

NPI: 1447785993
Provider Name (Legal Business Name): COMMUNITY CHIROPRACTIC OF ACTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 BEACH ST UNIT D
MANCHESTER BY THE SEA MA
01944-1547
US

IV. Provider business mailing address

17 BEACH ST UNIT D
MANCHESTER BY THE SEA MA
01944-1547
US

V. Phone/Fax

Practice location:
  • Phone: 978-263-9355
  • Fax:
Mailing address:
  • Phone: 978-263-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMA2573
License Number StateMA

VIII. Authorized Official

Name: DR. PAMELA J JARBOE
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 978-263-9355