Whalio Doctors

NPI 1609197870

Jason Bettencourt, LMT

Practitioner Homeopath Peabody, MA

Practice location

Address
15 Chestnut St, Peabody, MA 01960-5429
Phone
(978) 998-9993
Mailing address
6 Moulton Ave, Salem, MA 01970-2524

Registered specialties

Homeopath Primary
Other Service Providers Taxonomy 175L00000X Licence 7006 (MA)

Registry record

NPI
1609197870
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2010
Record last updated
22 Jun 2010

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.