Provider Demographics
NPI:1952724957
Name:SMITH, CAITLIN ANN (DC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ANN
Last Name:SMITH
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 1:131 W MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-1150
Mailing Address - Country:US
Mailing Address - Phone:978-633-9580
Mailing Address - Fax:978-633-0014
Practice Address - Street 1:131 W MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1150
Practice Address - Country:US
Practice Address - Phone:978-633-9580
Practice Address - Fax:978-633-0014
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor