Provider Demographics
NPI:1376039206
Name:RETURN TO WELLNESS NATURAL MEDICINE
Entity Type:Organization
Organization Name:RETURN TO WELLNESS NATURAL MEDICINE
Other - Org Name:RETURN TO WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-732-8428
Mailing Address - Street 1:11A HOSPITAL CT STE 6
Mailing Address - Street 2:
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1588
Mailing Address - Country:US
Mailing Address - Phone:802-732-8428
Mailing Address - Fax:802-732-8475
Practice Address - Street 1:11A HOSPITAL CT STE 6
Practice Address - Street 2:
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1588
Practice Address - Country:US
Practice Address - Phone:802-376-1185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty