Provider Demographics
NPI:1477721082
Name:TIPLADY, NATHANIEL DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:DAVID
Last Name:TIPLADY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2671
Mailing Address - Country:US
Mailing Address - Phone:781-449-5722
Mailing Address - Fax:781-455-0074
Practice Address - Street 1:1410 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2671
Practice Address - Country:US
Practice Address - Phone:781-449-5722
Practice Address - Fax:781-455-0074
Is Sole Proprietor?:No
Enumeration Date:2008-02-16
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA03180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor