Individual
MS. EVELYN ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 RUNNALS RD., WHITE RIVER JUNCTION, VT 05001-0500
(802) 295-6653
(802) 295-6653
Mailing address
216 RUNNALS RD, WHITE RIVER JUNCTION, VT 05001-9234
18022956653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019941-00
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
08/05/2017
Last updated
08/05/2017
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