Provider Demographics
NPI:1306063417
Name:DAVIS, MAURA DENISE (DC)
Entity type:Individual
Prefix:DR
First Name:MAURA
Middle Name:DENISE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:105 WASHINGTON ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1100
Mailing Address - Country:US
Mailing Address - Phone:508-230-2323
Mailing Address - Fax:508-230-8223
Practice Address - Street 1:800 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-2125
Practice Address - Country:US
Practice Address - Phone:508-234-8222
Practice Address - Fax:508-234-7558
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor