Individual
KRISTIE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
71 MISSIONARY ACRES, NEWPORT, VT 05855-5703
(802) 323-2655
Mailing address
71 MISSIONARY ACRES, NEWPORT, VT 05855-5703
(802) 323-2655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0096035
VT
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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