Individual
MS. COURTNEY CELESTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
002 ROWELL HALL, BURLINGTON, VT 05405-0001
(802) 656-3858
Mailing address
105 COURT ST, PMB 321, MIDDLEBURY, VT 05753
(210) 232-4134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZII869118702
BLUECROSS BLUESHIELD
VT
Enumeration date
08/12/2017
Last updated
08/12/2017
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