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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.

Location: 90 Mahoney Ave, Rutland, VT, 05701-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Rutland
State
Vermont
Zip
05701-4836
Phone Number
802-773-0010
Fax Number
802-773-0010
person
Provider Business Mailing Address Details
Address
90 Mahoney Ave
City
Rutland
State
Vermont
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
111N00000X
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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