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NPI Code Detail

MEDICARE: RISER AND TREAD, LLC

MEDICARE: RISER AND TREAD, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1235791021
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISER AND TREAD, LLC
Provider Business Mailing Address
First Line : 35 OLIVER ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6425
Country : US
Telephone Number : 978-995-7740
Fax Number : 888-695-7775
Provider Business Practice Location Address
First Line : 383 ELLIOT ST STE 100
Second Line :
City : NEWTON UPPER FALLS
State : MA
Zip : 02464-1126
Country : US
Telephone Number : 888-695-7775
Fax Number : 888-695-7775
Authorized Official
Title or Position : OWNER
Name : JOTHAM DAVID BUSFIELD
Credential : LICSW
Telephone Number : 978-995-7740
Provider Enumeration Date : 07/02/2019
Last Update Date : 07/02/2019

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Directions to “RISER AND TREAD, LLC ” Practice Location

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