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Organization

MOVEWELL SPINE & SPORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON WOLSTENHOLME DC (PRESIDENT)
(802) 497-1002
Entity
Organization

Contact information

Practice address
372 HURRICANE LN STE 102, WILLISTON, VT 05495-2080
(802) 497-1002
Mailing address
372 HURRICANE LN STE 102, WILLISTON, VT 05495-2080
(802) 802-4971

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006.0056369
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790924892
TYPE 1 NPI
Enumeration date
12/31/2012
Last updated
04/14/2026
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