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General NPI Number Information
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NPI Number | 1902209828
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Entity Type | Organization
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Legal Business Name | ORTHOMED MASSAGE CLINIC LLC
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 269 WEST MAIN ST SUITE 1B
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2381
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Country | US
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Telephone | 508-466-8257
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Fax | 508-393-6030
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Provider Business Mailing Address
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Address Line | 269 W MAIN ST STE 1B
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2382
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Country | US
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Telephone | 508-466-8257
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Fax | 508-393-6030
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Authorized Official
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Title or Position | OWNER
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Name | MARYANN REID
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Credential | LMT
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Telephone | 508-466-8257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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