Mr. Alan M Maynard, LAT, ATC
Specialist in Burlington, Vermont
1477595452- Practice location
- 213A Patrick Gymnasium, 97 Spear St., Burlington, VT 05405-0001
- Phone
- 802-656-7678
- Fax
- —
- Last updated
- July 13, 2026
Alan Michael Maynard is a Specialist based in Burlington, VT. Alan Michael Maynard practices in Burlington, VT and has the professional credentials of LAT, ATC. The NPI Number for Alan Michael Maynard is 1477595452 and holds a License No. 1040000092 (VT). The current practice location address for Alan Michael Maynard is 213A Patrick Gymnasium, 97 Spear St., Burlington, VT 05405-0001 and can be reached out via phone at 802-656-7678.
Provider Profile Details
- NPI Number
- 1477595452
- Provider Name
- Alan Michael Maynard
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 213A Patrick Gymnasium, 97 Spear St., Burlington, VT 05405-0001
- Phone Number
- 802-656-7678
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 213A Patrick Gymnasium
97 Spear St.
Burlington, VT 05405-0001 - City
- Burlington
- State
- Vermont
- Zip
- 05405-0001
- Phone Number
- 802-656-7678
Provider Business Mailing Address Details
- Address
- 42 Crystal RD
Fairfax, VT 05454-9572 - City
- Fairfax
- State
- VT
- Zip
- 05454-9572
- Phone Number
- 802-656-7678
License Information
- License Number
- 1040000092
- License State
- VT
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Alan M Maynard, LAT, ATC?
The NPI number of Mr. Alan M Maynard, LAT, ATC is 1477595452. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Alan M Maynard, LAT, ATC?
Mr. Alan M Maynard, LAT, ATC is registered under the primary taxonomy Specialist (code 174400000X), licensed in VT under license number 1040000092.
Where does Mr. Alan M Maynard, LAT, ATC practice?
The practice location is 213A Patrick Gymnasium, 97 Spear St., Burlington, VT 05405-0001. The office can be reached at 802-656-7678 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477595452 directly on the NPPES registry website.