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Life Source Chiropractic Inc.
Chiropractor in Rutland, Vermont
NPI 1669731477

Life Source Chiropractic Inc. is a Chiropractor based in Rutland, VT. Life Source Chiropractic Inc. practices in Rutland, VT. The NPI Number for Life Source Chiropractic Inc. is 1669731477 and holds a License No. 0060072505 (Vermont).

The current practice location address for Life Source Chiropractic Inc. is 90 Mahoney Ave, Rutland, VT and can be reached out via phone at 802-773-0010 and via fax at 802-773-0010. You can also correspond with Life Source Chiropractic Inc. through the mailing address at 90 MAHONEY AVE, RUTLAND, VT - 05701-4836 (mailing address contact number: 802-773-0010).

Location: 90 Mahoney Ave, Rutland, VT, 05701-4836
institution
Provider Profile Details
NPI Number
1669731477
Provider Name
Life Source Chiropractic Inc.
Credential
Provider Entity Type
Organization
Address
90 Mahoney Ave, Rutland, VT, 05701-4836
Phone Number
802-773-0010
Fax Number
802-773-0010
Provider Enumeration Date
05/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0028156 01 VT MEDICARE PTAN
1022039 05 VT
institution
Provider Business Practice Location Address Details
Address
90 Mahoney Ave
City
State
Zip
05701-4836
Phone Number
802-773-0010
Fax Number
802-773-0010
person
Provider Business Mailing Address Details
Address
90 Mahoney Ave
City
State
Zip
05701-4836
Phone Number
802-773-0010
Fax Number
802-773-0010
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
0060072505 (Vermont)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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