Provider Demographics
NPI:1164432753
Name:GUYER, MAURA M (PT)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:M
Last Name:GUYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 FLYNN AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5401
Mailing Address - Country:US
Mailing Address - Phone:802-864-6262
Mailing Address - Fax:802-864-6252
Practice Address - Street 1:10 FARRELL ST STE 7
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6371
Practice Address - Country:US
Practice Address - Phone:802-864-6262
Practice Address - Fax:802-864-6252
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT58971OtherBCBS
VT1009290Medicaid
VT682810OtherCIGNA
VN63148Medicare ID - Type Unspecified