Provider Demographics
NPI:1710792932
Name:NAKHOUL, JEAN-PIERRE
Entity type:Individual
Prefix:
First Name:JEAN-PIERRE
Middle Name:
Last Name:NAKHOUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 LAKE ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-1220
Mailing Address - Country:US
Mailing Address - Phone:617-833-7822
Mailing Address - Fax:
Practice Address - Street 1:720 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2369
Practice Address - Country:US
Practice Address - Phone:617-833-7822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11331225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist