Provider Demographics
NPI:1588674394
Name:GAILES, JARED DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:DOUGLAS
Last Name:GAILES
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 1:661 WASHINGTON ST STE 206
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3529
Mailing Address - Country:US
Mailing Address - Phone:781-352-8146
Mailing Address - Fax:781-352-8147
Practice Address - Street 1:661 WASHINGTON ST STE 206
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3529
Practice Address - Country:US
Practice Address - Phone:781-352-8146
Practice Address - Fax:781-352-8147
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2681111N00000X
RIDCP00462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor