# CENTER FOR INTEGRATIVE MEDICINE,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Integrative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477621282
- **Authorized official:** KATHY DONAHUE (OFFICE MANAGER)
- **Authorized official phone:** (802) 747-7730

## Contact information

- **Practice address:** 69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
- **Practice address phone:** (802) 747-7730
- **Practice address fax:** (802) 773-1609
- **Mailing address:** 69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
- **Mailing address phone:** (802) 747-7730
- **Mailing address fax:** (802) 773-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 01/29/2008