Provider Demographics
NPI:1144568643
Name:CATALYST PHYSIOTHERAPY LLC
Entity Type:Organization
Organization Name:CATALYST PHYSIOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSIER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:802-871-5506
Mailing Address - Street 1:PO BOX 877
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-0877
Mailing Address - Country:US
Mailing Address - Phone:802-871-5506
Mailing Address - Fax:802-876-7829
Practice Address - Street 1:37 TALCOTT RD
Practice Address - Street 2:SUITE #130
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-2040
Practice Address - Country:US
Practice Address - Phone:802-871-5506
Practice Address - Fax:802-876-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003554225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty