Healthcare Provider Details

I. General information

NPI: 1225010192
Provider Name (Legal Business Name): BASS RIVER HEALTHCARE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 ROUTE 28
S YARMOUTH MA
02664-5202
US

IV. Provider business mailing address

833 ROUTE 28
S YARMOUTH MA
02664-5254
US

V. Phone/Fax

Practice location:
  • Phone: 508-394-1353
  • Fax: 508-398-2866
Mailing address:
  • Phone: 508-394-1353
  • Fax: 508-398-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number276
License Number StateMA

VIII. Authorized Official

Name: DR. DANIEL J REIDA
Title or Position: PRESIDENT
Credential: DC
Phone: 508-394-1353