Doctor Name: | KARI WENTLAND |
NPI Number: | 1245630821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, ATC, LAT, LMT |
License Number: | MT5321 |
Business Practice Address: | 158 Harmon Dr Northfield, VT - 056631000 |
Business Phone Number: | 8024853044 |
Business Fax Number: | |
Mailing Address: | 585 Elm St, MONTPELIER |
State: | VT |
Postal Code: | 056022013 |
Phone Number: | 6193006598 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 11/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT5321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |