Active NPIIndividual providerSole proprietor

Dr. Kathleen M Favaloro, CHIROPRACTOR, PT

Chiropractor in Great Barrington, Massachusetts

NPI Number1023181708
Practice location
19 Lewis Avenue, Great Barrington, MA 01230
Fax
—
Last updated
August 11, 2015

Kathleen M Favaloro is a Chiropractor based in Great Barrington, MA. Kathleen M Favaloro practices in Great Barrington, MA and has the professional credentials of CHIROPRACTOR, PT. The NPI Number for Kathleen M Favaloro is 1023181708 and holds a License No. 2395 (MA). The current practice location address for Kathleen M Favaloro is 19 Lewis Avenue, Great Barrington, MA 01230 and can be reached out via phone at 413-528-5535.

Provider Profile Details

NPI Number
1023181708
Provider Name
Kathleen M Favaloro
Credential
CHIROPRACTOR, PT
Provider Entity Type
Individual
Gender
Female
Address
19 Lewis Avenue, Great Barrington, MA 01230
Phone Number
413-528-5535
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 17, 2006
Last Update Date
August 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Lewis Avenue
Great Barrington, MA 01230
Zip
01230
Phone Number
413-528-5535
Great Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
Po Box 12
Great Barrington, MA 01230-0012
City
Great Barrington
State
MA
Zip
01230-0012
Phone Number
413-528-5535

License Information

License Number (1)
2395
License State (1)
MA
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
x009242-1
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X
License Number (3)
006800-1
License State (3)
NY
Taxonomy (3)
Physical Therapist · 225100000X
License Number (4)
12166
License State (4)
MA
Taxonomy (4)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kathleen M Favaloro, CHIROPRACTOR, PT?

The NPI number of Dr. Kathleen M Favaloro, CHIROPRACTOR, PT is 1023181708. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kathleen M Favaloro, CHIROPRACTOR, PT?

Dr. Kathleen M Favaloro, CHIROPRACTOR, PT is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in MA under license number 2395.

Where does Dr. Kathleen M Favaloro, CHIROPRACTOR, PT practice?

The practice location is 19 Lewis Avenue, Great Barrington, MA 01230. The office can be reached at 413-528-5535 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023181708 directly on the NPPES registry website.

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