Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 3465 | MA |
NPI | 1306253216 |
---|---|
Provider Name | Dr. Ryan P Messina |
First Address | Shrewsbury, MA 01545-2102 |
Second Address | Shrewsbury, MA 01545-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 14/07/2014 |