Doctor Name: | TIMOTHY WARD TOURVILLE |
NPI Number: | 1578556981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MED, ATC, CSCS |
License Number: | 104-0000032 |
Business Practice Address: | 95 Carrigan Dr Stafford Hall 4 Mcclure Musculoskeletal Research Center Burlington, VT - 054051746 |
Business Phone Number: | 8026563239 |
Business Fax Number: | 8026564247 |
Mailing Address: | 219 Juniper Dr, SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054035793 |
Phone Number: | 8026563239 |
Fax Number: | 8026564247 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 104-0000032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |