# BASS CHIROPRACTIC & PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073704607
- **Authorized official:** DR. BASSAM MAWLA D.C (PRESIDENT)
- **Authorized official phone:** (413) 726-0912

## Contact information

- **Practice address:** 1145 MAIN ST, SUITE 107, SPRINGFIELD, MA 01103-2143
- **Practice address phone:** (413) 726-0912
- **Practice address fax:** (413) 686-9305
- **Mailing address:** 1145 MAIN ST, SUITE 107, SPRINGFIELD, MA 01103-2143
- **Mailing address phone:** (413) 726-0912
- **Mailing address fax:** (413) 686-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 3120 | MA | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 08/08/2007