Provider Demographics
NPI:1467119446
Name:HORI, MASAE (DC)
Entity Type:Individual
Prefix:DR
First Name:MASAE
Middle Name:
Last Name:HORI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 W BERWICK ST APT 2
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-6376
Mailing Address - Country:US
Mailing Address - Phone:908-208-7194
Mailing Address - Fax:
Practice Address - Street 1:1733 WASHINGTON BLVD STE 108
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4622
Practice Address - Country:US
Practice Address - Phone:484-262-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011674111N00000X
NYX012989-1111N00000X
NJ38MC00749000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor