Organization
EMBODIMENT INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MATTHEW TANNY DC (DOCTOR)
(413) 582-9111
Entity
Organization
Contact information
Practice address
16 CENTER ST, SUITE 323, NORTHAMPTON, MA 01060-3589
(413) 582-9111
(413) 582-0333
Mailing address
16 CENTER ST, SUITE 323, NORTHAMPTON, MA 01060-3589
(413) 582-9111
(413) 582-0333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2074
MA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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