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
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