Search › Massachusetts › 225100000X
Jordan Fuller, PT, DPT, LAT, ATC
NPI 1992214803 · on the registry since 2017
Practice
- Address
- 840 Winter St
Waltham, MA 02451 - Phone
- (781) 487-9944
- Organisation at this address
- Boston Sports & Shoulder Center, Llc
Boston Out-Patient Surgical Suites, Llc
Massachusetts Anesthesia Associates, P.C.
Anaesthesia Associates Of Massachusetts, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Additional practice sites
- 50 Ocean Ave Apt 513a, Revere, MA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2081S0010X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts