Healthcare Provider Details

I. General information

NPI: 1841338662
Provider Name (Legal Business Name): SOUTH COUNTY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WORCESTER PROVIDENCE TPKE
SUTTON MA
01590-2902
US

IV. Provider business mailing address

214 WORCESTER PROVIDENCE TPKE
SUTTON MA
01590-2902
US

V. Phone/Fax

Practice location:
  • Phone: 508-865-5068
  • Fax: 508-865-5069
Mailing address:
  • Phone: 508-865-5068
  • Fax: 508-865-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY RAINKA
Title or Position: OWNER
Credential: DC
Phone: 508-865-5068