Organization
INTERGRATIVE MEDICINE&HOLISTIC WELLNESS CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN COLEMAN (OFFICE MANAGER)
(508) 790-0606
Entity
Organization
Contact information
Practice address
677 W MAIN ST, HYANNIS, MA 02601-3493
(508) 790-0606
(508) 790-0808
Mailing address
677 W MAIN ST, HYANNIS, MA 02601-3493
(508) 790-0606
(508) 790-0808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
439
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606221
—
MA
05
—
1617265
—
MA
Enumeration date
08/01/2011
Last updated
08/01/2011
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