Provider Demographics
NPI:1497235568
Name:CARLEY, NANCY (PHYSICAL THERAPISTS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CARLEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPISTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 MUNGER HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4591
Mailing Address - Country:US
Mailing Address - Phone:413-568-8728
Mailing Address - Fax:
Practice Address - Street 1:1200 SUFFIELD STREET
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001
Practice Address - Country:US
Practice Address - Phone:413-789-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist