| NPI | 1003401803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COOKE MCALLISTER Owner 802-734-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |