Provider Demographics
NPI:1720384159
Name:COLAPRETE, MILES K (DC)
Entity Type:Individual
Prefix:DR
First Name:MILES
Middle Name:K
Last Name:COLAPRETE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4066 SHELBURNE RD
Mailing Address - Street 2:STE #8
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-6905
Mailing Address - Country:US
Mailing Address - Phone:802-985-5833
Mailing Address - Fax:
Practice Address - Street 1:4066 SHELBURNE RD
Practice Address - Street 2:STE #8
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6905
Practice Address - Country:US
Practice Address - Phone:802-985-5833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012130111NS0005X
VT006.0091379111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician