Healthcare Provider Details
I. General information
NPI: 1043375926
Provider Name (Legal Business Name): ACUTHERAPY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1549 MAIN ST RTE 6A
WEST BARNSTABLE MA
02668-1123
US
IV. Provider business mailing address
1549 MAIN ST RTE 6A
WEST BARNSTABLE MA
02668-1123
US
V. Phone/Fax
- Phone: 508-362-3358
- Fax: 508-362-9944
- Phone: 508-362-3358
- Fax: 508-362-9944
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
RAYLOVE
Title or Position: OWNER
Credential: L.AC.
Phone: 508-362-3358