Healthcare Provider Details

I. General information

NPI: 1720915952
Provider Name (Legal Business Name): BODY AND TOES CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

102 CLIFTON AVE
SPRINGFIELD MA
01105-1912
US

IV. Provider business mailing address

102 CLIFTON AVE
SPRINGFIELD MA
01105-1912
US

V. Phone/Fax

Practice location:
  • Phone: 413-218-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CELIA GOULDBOURNE-DUNKELLY
Title or Position: OWNER
Credential:
Phone: 413-218-4699