Provider Demographics
NPI:1013748599
Name:HELLMUTH, HEIDI (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:
Last Name:HELLMUTH
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 BACK ST
Mailing Address - Street 2:
Mailing Address - City:VERSHIRE
Mailing Address - State:VT
Mailing Address - Zip Code:05079-4428
Mailing Address - Country:US
Mailing Address - Phone:978-314-5535
Mailing Address - Fax:
Practice Address - Street 1:326 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-4418
Practice Address - Country:US
Practice Address - Phone:802-331-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist