Kelley Boulevard Chiropractic

NPI #1083895221 in Plainville, Massachusetts

Provider Information

NPI Number: 1083895221
Entity Type: Organization
Organization Name: Kelley Boulevard Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Nov 15, 2007
Last Updated: Nov 15, 2007

Practice Location

Address: 72 TAUNTON ST STE G01
City: Plainville
State: Massachusetts
ZIP Code: 02762-2132
Phone: (508) 699-2228

Authorized Official

Name: DR. MARTIN I GRUDER, D.C.
Title: CHIROPRACTOR/OWNER
Phone: (508) 699-2228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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