Individual
TEA KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7619 VERMONT ROUTE 22A, ADDISON, VT 05491-8924
(802) 349-3180
Mailing address
7619 VERMONT ROUTE 22A, ADDISON, VT 05491-8924
(802) 349-3180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0133914
VT
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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