Provider Demographics
NPI:1982407607
Name:HAMLETT, REILLY (DC)
Entity type:Individual
Prefix:DR
First Name:REILLY
Middle Name:
Last Name:HAMLETT
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 FAIRMAN RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-9710
Mailing Address - Country:US
Mailing Address - Phone:978-413-0343
Mailing Address - Fax:
Practice Address - Street 1:30 HARDWICK RD
Practice Address - Street 2:
Practice Address - City:PETERSHAM
Practice Address - State:MA
Practice Address - Zip Code:01366
Practice Address - Country:US
Practice Address - Phone:978-991-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACHI5136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor