Provider Demographics
NPI:1427759562
Name:ERGONOMIC COLLABORATION GROUP, LLC
Entity type:Organization
Organization Name:ERGONOMIC COLLABORATION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:413-374-7146
Mailing Address - Street 1:868 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-2105
Mailing Address - Country:US
Mailing Address - Phone:413-374-7146
Mailing Address - Fax:413-734-7879
Practice Address - Street 1:868 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-2105
Practice Address - Country:US
Practice Address - Phone:413-374-7146
Practice Address - Fax:413-734-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty