Individual
MRS. KATIE RAE CHIVINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
632 MORRISTOWN CORNERS RD, MORRISVILLE, VT 05661-8985
(802) 585-5510
Mailing address
4705 VT ROUTE 100, HYDE PARK, VT 05655-9613
(802) 585-5510
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
091.0073477
VT
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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