Individual
KRISTIN PAIGE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, RD
Contact information
Practice address
1 KENNEDY DR, STE L8, SOUTH BURLINGTON, VT 05403-7165
(802) 863-2013
Mailing address
30 ARLINGTON GRN, SOUTH BURLINGTON, VT 05403-7001
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
867109
VT
225100000X
Physical Therapist
Primary
000-0002562
VT
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011280
—
VT
Enumeration date
03/19/2007
Last updated
08/02/2018
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