Provider Demographics
NPI:1750254132
Name:HARBOR SPINE & SPORTS INC
Entity type:Organization
Organization Name:HARBOR SPINE & SPORTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PSICHOPAIDAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-999-4040
Mailing Address - Street 1:49 STATE RD
Mailing Address - Street 2:WATUPPA BUILDING 101
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3322
Mailing Address - Country:US
Mailing Address - Phone:508-999-4040
Mailing Address - Fax:508-993-9387
Practice Address - Street 1:49 STATE RD
Practice Address - Street 2:WATUPPA BUILDING 101
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3322
Practice Address - Country:US
Practice Address - Phone:508-999-4040
Practice Address - Fax:508-993-9387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty