Active NPIIndividual providerSole proprietor

Michelle Dussault, PTA

Physical Therapy Assistant in Brattleboro, Vermont

NPI Number1780059550
Practice location
262 Western Ave, - Back Apt, Brattleboro, VT 05301-6246
Fax
—
Last updated
December 4, 2015

Michelle Dussault is a Physical Therapy Assistant based in Brattleboro, VT. Michelle Dussault practices in Brattleboro, VT and has the professional credentials of PTA. The NPI Number for Michelle Dussault is 1780059550 and holds a License No. 9154 (MA). The current practice location address for Michelle Dussault is 262 Western Ave, - Back Apt, Brattleboro, VT 05301-6246 and can be reached out via phone at 813-787-9668.

Provider Profile Details

NPI Number
1780059550
Provider Name
Michelle Dussault
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
262 Western Ave, - Back Apt, Brattleboro, VT 05301-6246
Phone Number
813-787-9668
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2015
Last Update Date
December 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
262 Western Ave
- Back Apt
Brattleboro, VT 05301-6246
State
Vermont
Zip
05301-6246
Phone Number
813-787-9668
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
262 Western Ave
- Back Apt
Brattleboro, VT 05301-6246
City
Brattleboro
State
VT
Zip
05301-6246
Phone Number
813-787-9668

License Information

License Number (1)
9154
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
041.0095968
License State (2)
VT
Taxonomy (2)
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michelle Dussault, PTA?

The NPI number of Michelle Dussault, PTA is 1780059550. It was assigned on December 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Michelle Dussault, PTA?

Michelle Dussault, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9154.

Where does Michelle Dussault, PTA practice?

The practice location is 262 Western Ave, - Back Apt, Brattleboro, VT 05301-6246. The office can be reached at 813-787-9668 (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 1780059550 directly on the NPPES registry website.

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