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Contact Information

VIVIAN N ACKLEY, PT
420 COMMON STREET
SUITE 102
LAWRENCE, MA01840
 Phone: 978-685-6800
 Fax: 978-685-0886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for VIVIAN N ACKLEY · (Female)

NPI Number 1164457149
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 07/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1431
  • MA Medicaid 0376086
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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