Individual
KATHERINE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5016 ROUTE 15, JEFFERSONVILLE, VT 05464
(802) 644-8011
(802) 893-7429
Mailing address
P.O. BOX 103, JEFFERSONVILLE, VT 05464
(802) 644-8011
(802) 644-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0095390
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022195
—
VT
Enumeration date
09/03/2013
Last updated
01/10/2019
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