Provider Demographics
NPI:1790277150
Name:HOUGHTON, AMELIA N (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:N
Last Name:HOUGHTON
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TAUNTON ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2188
Mailing Address - Country:US
Mailing Address - Phone:508-316-1283
Mailing Address - Fax:508-316-1572
Practice Address - Street 1:25 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2188
Practice Address - Country:US
Practice Address - Phone:508-316-1283
Practice Address - Fax:508-316-1572
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234672081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine