Healthcare Provider Details

I. General information

NPI: 1427812510
Provider Name (Legal Business Name): WHOLE HEALTH OSTEOPATHY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2024
Last Update Date: 03/02/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CENTER ST STE 305
NORTHAMPTON MA
01060-3031
US

IV. Provider business mailing address

27 LEXINGTON AVE
HOLYOKE MA
01040-2007
US

V. Phone/Fax

Practice location:
  • Phone: 413-203-9521
  • Fax:
Mailing address:
  • Phone: 541-409-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE A MARKELZ
Title or Position: OWNER
Credential: DO
Phone: 413-203-9521