Individual
MICHELE CHRISTINE BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CES
Contact information
Practice address
97 SPEAR ST, BURLINGTON, VT 05405-1701
(201) 787-5630
Mailing address
79 WEAVER ST APT A, WINOOSKI, VT 05404-2073
(201) 787-5630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0123206
VT
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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