Individual
KAELI A. MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
289 HURRICANE LN STE 102, WILLISTON, VT 05495-2092
(802) 655-7575
Mailing address
289 HURRICANE LN STE 102, WILLISTON, VT 05495-2092
(802) 655-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0134316
VT
225100000X
Physical Therapist
Primary
048052-01
NY
225100000X
Physical Therapist
12176
SC
225100000X
Physical Therapist
16165
TN
225100000X
Physical Therapist
P22867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040.0134316
STATE LICENSE
VT
Enumeration date
08/30/2021
Last updated
12/21/2025
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