Provider Demographics
NPI:1013328509
Name:TATTELMAN, JOYCE (DC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:TATTELMAN
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 1:594 MARRETT RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7607
Mailing Address - Country:US
Mailing Address - Phone:781-860-7306
Mailing Address - Fax:
Practice Address - Street 1:594 MARRETT RD
Practice Address - Street 2:SUITE 19
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7607
Practice Address - Country:US
Practice Address - Phone:781-860-7306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor