Healthcare Provider Details

I. General information

NPI: 1659896454
Provider Name (Legal Business Name): LET'S GO TECHNOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 W BOYLSTON ST STE 140
WORCESTER MA
01606-3071
US

IV. Provider business mailing address

799 W BOYLSTON ST STE 140
WORCESTER MA
01606-3071
US

V. Phone/Fax

Practice location:
  • Phone: 508-853-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255R0406X
TaxonomyBlind Rehabilitation Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: SCOTT V KRUG
Title or Position: PRESIDENT
Credential:
Phone: 508-853-8200