Provider Demographics
NPI:1740580620
Name:JONES, CHRISTOPHER VINCENT (LMT)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:VINCENT
Last Name:JONES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:97 EAST ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-3562
Mailing Address - Country:US
Mailing Address - Phone:978-868-8065
Mailing Address - Fax:
Practice Address - Street 1:17 PIERCE AVE STE B
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7111
Practice Address - Country:US
Practice Address - Phone:978-345-1224
Practice Address - Fax:978-345-1418
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8325225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist