Healthcare Provider Details

I. General information

NPI: 1164634481
Provider Name (Legal Business Name): THE WHITTEMORE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 GREAT RD SUITE 215
STOW MA
01775-1190
US

IV. Provider business mailing address

118 GREAT RD STE 205
STOW MA
01775-1190
US

V. Phone/Fax

Practice location:
  • Phone: 978-897-1770
  • Fax: 978-897-1715
Mailing address:
  • Phone: 978-897-1770
  • Fax: 978-897-1715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2723
License Number StateMA

VIII. Authorized Official

Name: DR. TODD ALLAN WHITTEMORE
Title or Position: PRESIDENT
Credential: D.C.
Phone: 978-897-1770