Individual
MRS. HEATHER MARIE CHERNYSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, NCTMB
Contact information
Practice address
115 WELLNESS DR, WILLISTON, VT 05495-2088
(802) 860-1358
Mailing address
115 WELLNESS DR, WILLISTON, VT 05495-2088
(802) 860-1358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000087
VT
Other
Enumeration date
09/05/2006
Last updated
10/15/2008
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