Healthcare Provider Details

I. General information

NPI: 1164542999
Provider Name (Legal Business Name): JAMES GRANT BAILEY L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 LITTLETON RD STE 202
WESTFORD MA
01886-3429
US

IV. Provider business mailing address

3210 PRINCETON WAY
WESTFORD MA
01886-1556
US

V. Phone/Fax

Practice location:
  • Phone: 310-393-4124
  • Fax:
Mailing address:
  • Phone: 310-393-4124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number6014293
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: