Doctor Name: | DR. LYDIA HEATHER KNUTSON |
NPI Number: | 1134396344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 2599 |
Business Practice Address: | 777 Concord Ave Ste 301 Cambridge, MA - 021381056 |
Business Phone Number: | 6178769099 |
Business Fax Number: | 6178769011 |
Mailing Address: | 777 Concord Ave, Ste 301 CAMBRIDGE |
State: | MA |
Postal Code: | 021381056 |
Phone Number: | 6178769099 |
Fax Number: | 6178769011 |
NPI Enumeration Date: | 05/15/2008 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |