Individual
JEFFREY MICHAEL LOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
905 ROOSEVELT HWY, SUITE 100, COLCHESTER, VT 05446-4475
(802) 861-0111
(802) 861-2812
Mailing address
56 BEARTOWN RD, UNDERHILL, VT 05489-9364
(802) 233-3909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003331
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03014375
GREAT WEST
VT
01
—
030514375
CBA
VT
05
—
1011942
—
VT
01
—
384012
MVP
VT
01
—
58817
BC/BS
VT
01
—
6152701
FAHC/VMC PREFERRED APEX
VT
01
—
DOL605524500
OWCP
VT
Enumeration date
03/15/2006
Last updated
05/25/2016
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