Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Timothy Richard Latham, DCMSLDNCSCS

Individual provider Nutritionist · NPI 1073845525

Dr. Timothy Richard Latham, DCMSLDNCSCS is a Nutritionist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

665 Boylston St Ste 3
Boston, MA 02116-4825
Phone: (724) 554-2795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Chiropractor (primary) Taxonomy 111NN1001X · Licence 3532 (MA)
Nutritionist Taxonomy 133N00000X · Licence 3868 (MA)

Record details

NPI number1073845525
Entity typeIndividual (Type 1)
GenderMale
Credentials DCMSLDNCSCS
Sole proprietorYes
NPI enumeratedFebruary 9, 2010
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020

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