Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 694 Main St., Quechee, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982041505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 630M (New Hampshire) | Primary |
Mailing Address | Practice Location Address |
---|---|
694 Main St. P.o. Box 589, Quechee, VT 05059 Ph: (802) 295-1718 | 694 Main St., Quechee, VT 05059 Ph: (802) 295-1718 |