Provider Demographics
NPI:1609343961
Name:SHAPIRO, SARAH (CMT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 E STATE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3012
Mailing Address - Country:US
Mailing Address - Phone:802-522-0374
Mailing Address - Fax:
Practice Address - Street 1:56 E STATE ST STE 206
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3012
Practice Address - Country:US
Practice Address - Phone:802-522-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist