# PERFORMANCE CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396903795
- **Authorized official:** DR. KATHERINE LEE WIEBE DC (OWNER)
- **Authorized official phone:** (802) 878-4946

## Contact information

- **Practice address:** 131 PEARL ST, ESSEX JUNCTION, VT 05452-3626
- **Practice address phone:** (802) 878-4946
- **Practice address fax:** (802) 878-9625
- **Mailing address:** 131 PEARL ST, ESSEX JUNCTION, VT 05452-3626
- **Mailing address phone:** (802) 878-4946
- **Mailing address fax:** (802) 878-9625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 006-0001086 | VT | Yes |
| 111NS0005X | Sports Physician Chiropractor | 006-0001098 | VT | — |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008
