| NPI | 1679977409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI R DODGE Owner/Chiropractor 802-274-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 0060001202) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: VT 0060001202) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |