Provider Demographics
NPI:1790874550
Name:MCGETTIGAN, VALARIE (PT)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:MCGETTIGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:VT
Mailing Address - Zip Code:05158
Mailing Address - Country:US
Mailing Address - Phone:802-463-3113
Mailing Address - Fax:802-463-3103
Practice Address - Street 1:41 THE SQ
Practice Address - Street 2:SUITE 302A
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1386
Practice Address - Country:US
Practice Address - Phone:802-463-3113
Practice Address - Fax:802-463-3103
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400002847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1008355Medicaid
00058640OtherBLUE CROSS BLUE SHIELD
7130903OtherCIGNA
7130903OtherCIGNA