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Organization

PERFORMANCE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE LEE WIEBE DC (OWNER)
(802) 878-4946
Entity
Organization

Contact information

Practice address
131 PEARL ST, ESSEX JUNCTION, VT 05452-3626
(802) 878-4946
(802) 878-9625
Mailing address
131 PEARL ST, ESSEX JUNCTION, VT 05452-3626
(802) 878-4946
(802) 878-9625

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001086
VT
111NS0005X
Sports Physician Chiropractor
006-0001098
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
WI VN2700
VT
Enumeration date
06/02/2008
Last updated
06/02/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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