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Organization
SPORTS MEDICINE INC.
Active
Organization
SPORTS MEDICINE INC.
Active
Other names
Orthopedic Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
REID JEFFRIES ANDERSON P.T. (OWNER / TREASURER)
(413) 773-3379
Entity
Organization
Contact information
Practice address
306A HIGH STREET, GREENFIELD, MA 01301
(413) 773-3379
(413) 772-2705
Mailing address
306A HIGH STREET, GREENFIELD, MA 01301
(413) 773-3379
(413) 772-2705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15116
HEALTH NEW ENGLAND
MA
01
—
20762
FALLON
MA
01
—
2837637
AETNA
MA
01
—
606146
TUFTS
MA
01
—
615742
HARVARD PILGRIM
MA
01
—
754960
CONNECTICARE
MA
05
—
9750746
—
MA
01
—
Y65552
BCBS
MA
Enumeration date
09/28/2006
Last updated
08/22/2020
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