Mrs Lisa M Tidman, PTA - Physical Medicine & Rehabilitation in Williston, VT

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Mrs Lisa M Tidman, PTA is a Physical Medicine & Rehabilitation - Sports Medicine physician based in Williston, Vermont. Mrs Lisa M Tidman is licensed to practice in Vermont (license number 041-0000385) and her current practice location is 30 Hawthorne St, Williston, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 876-6100.

NPI number for Mrs Lisa M Tidman is 1467413930 and her current mailing address is 14 Forest Rd, Essex, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467413930.

Contact Information

Mrs Lisa M Tidman, PTA
30 Hawthorne St,
Williston, VT 05495-8212
(802) 876-6100
Not Available

Map and Direction




Physician's Profile

Full NameMrs Lisa M Tidman
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Sports Medicine
Location30 Hawthorne St, Williston, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467413930
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Lisa M Tidman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467413930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 041-0000385 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa M Tidman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa M Tidman, PTA
14 Forest Rd,
Essex, VT 05452-3818

Ph: (802) 878-7536		Mrs Lisa M Tidman, PTA
30 Hawthorne St,
Williston, VT 05495-8212

Ph: (802) 876-6100

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Williston, VT


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