Provider Demographics
NPI:1275964983
Name:HASSIG, SINDY LEE (MSPT)
Entity Type:Individual
Prefix:
First Name:SINDY
Middle Name:LEE
Last Name:HASSIG
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. 1112
Mailing Address - Street 2:
Mailing Address - City:WEST DOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05356-1112
Mailing Address - Country:US
Mailing Address - Phone:802-780-7810
Mailing Address - Fax:
Practice Address - Street 1:4 ALPINE LOOP
Practice Address - Street 2:P.O.1112
Practice Address - City:WEST DOVER
Practice Address - State:VT
Practice Address - Zip Code:05356-1112
Practice Address - Country:US
Practice Address - Phone:802-780-7810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0002474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist