| NPI | 1093866089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W. HUMPHREY President 802-773-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: VT 000680) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |