Male or Other

Dr. Timothy R. Latham D.C. M.S. LDN CSCS

Nutrition Chiropractor in Boston, MA(View on Map)

Full Name

Dr. Timothy Richard Latham D.C. M.S. LDN CSCS

NPI Number

1073845525

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/09/2010

Specialties

(Taxonomies)

Code

111NN1001X
133N00000X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts
Massachusetts

License Number

3532
3868

Contact
Information

Purpose

Mailing
Location

Address

146 EDINBORO ST
665 BOYLSTON ST STE 3

City

Newton
Boston

State

MA
MA

Postal Code

02460-1302
02116-4825

Country

US
US

Telephone Number

(724) 554-2795
(724) 554-2795

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/28/2020

Provider Address