NPI 1023414315

Michael Theophilus Macijeski, DC

Practitioner Chiropractor Pawtucket, RI

Practice location

Address: 1155 Newport Ave, Pawtucket, RI 02861-2107
Phone: (401) 725-2112
Fax: (401) 725-0066
Mailing address: 160 Taunton Ave, East Providence, RI 02914-4531

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence DCP00649 (RI)

Other Chiropractor providers in Rhode Island →

Registry record

NPI: 1023414315
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2014
Record last updated: 23 Apr 2018

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.