Organization
CENTER FOR INTEGRATIVE MEDICINE,PLLC
Active
Other names
Center for Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DONAHUE (OFFICE MANAGER)
(802) 747-7730
Entity
Organization
Contact information
Practice address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
(802) 747-7730
(802) 773-1609
Mailing address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
(802) 747-7730
(802) 773-1609
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008528
—
VT
01
—
BUCK00001441
BCBS VT
VT
Enumeration date
12/01/2006
Last updated
01/29/2008
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