Provider Demographics
NPI:1538305701
Name:VERMONT CHIROPRACTIC & SPORTS THERAPY,LLC
Entity Type:Organization
Organization Name:VERMONT CHIROPRACTIC & SPORTS THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OPERATIONS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARKINS HART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:802-482-4476
Mailing Address - Street 1:22 COMMERCE ST
Mailing Address - Street 2:UNIT 8A
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-9303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 COMMERCE ST
Practice Address - Street 2:UNIT 8A
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-9303
Practice Address - Country:US
Practice Address - Phone:802-482-4476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty