| NPI | 1396903795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LEE WIEBE Owner 802-878-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006-0001086) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: VT 006-0001098) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |