| NPI | 1184745978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE A HIGLEY Office Mgr 802-254-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: VT 0060000767) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: VT 0060000577) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |