Individual
MR. ANDREW M EAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
80 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 657-7779
Mailing address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 860-1358
(802) 860-1093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0103934
VT
2255A2300X
Athletic Trainer
104-0078895
VT
2255A2300X
Athletic Trainer
2000006432
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023504
—
VT
Enumeration date
05/16/2014
Last updated
06/10/2020
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