Individual
MR. CRAIG A CAMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC., DAC, DIPL. AC,
Contact information
Practice address
11 N MAIN ST STE 102, WATERBURY, VT 05676-1869
(802) 560-8818
Mailing address
11 N MAIN ST STE 102, WATERBURY, VT 05676-1869
(802) 560-8818
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006482
NY
225700000X
Massage Therapist
029697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006482
ACUPUNCTURE LICENSE
NY
01
—
029697
MASSAGE THERAPY LICENSE
NY
01
—
0910134044
ACUPUNCTURE LICENSE
VT
01
—
14483909
CAQH
—
Enumeration date
01/14/2018
Last updated
04/24/2024
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