Whalio Doctors

NPI 1003207929

Reid Motha, PAC

Practitioner Physician Assistant Northampton, MA

Practice location

Address
30 Locust St, Northampton, MA 01060-2052
Phone
(413) 582-2000
Mailing address
PO Box 633, Pittsfield, MA 01202-0633

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA5226 (MA)
Basic Emergency Medical Technician
Emergency Medical Service Providers Taxonomy 146N00000X Licence E881169 (MA)

Registry record

NPI
1003207929
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Feb 2015
Record last updated
13 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.