| NPI | 1417220880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI SAGE MOELTER President 802-775-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: VT 006.0000642) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |