Organization
CHIROPRACTIC & WELLNESS STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA KRISTEN KANNAS DO (OWNTER/PRESIDENT)
(802) 332-6125
Entity
Organization
Contact information
Practice address
442 WOODSTOCK RD, SUITE 5A, WOODSTOCK, VT 05091-9731
(802) 332-6125
(802) 332-8015
Mailing address
442 WOODSTOCK RD, SUITE 5A, WOODSTOCK, VT 05091-9731
(802) 332-6125
(802) 332-8015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006.0073893
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215169842
NPI
VT
Enumeration date
03/25/2011
Last updated
05/17/2011
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