| NPI | 1659023281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK HEMMETT Owner 802-363-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-04-29 |