Individual
DARCI LYNN WHITEHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
279 BUSINESS ROUTE 4 STE 1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
(802) 775-4918
Mailing address
5 ALBERT CREE DR, VERMONT SPORTS MEDICINE CENTER, RUTLAND, VT 05701
(802) 775-1300
(802) 773-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003671
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069063
BLUE CROSS BLUE SHIELD VT
—
05
—
1012361
—
VT
01
—
4147111
MVP
—
01
—
7330439
AETNA
—
Enumeration date
07/27/2006
Last updated
09/25/2019
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