Provider Demographics
NPI:1457556706
Name:GALE, JOSHUA TAYLOR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:TAYLOR
Last Name:GALE
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 1:76 KEYES MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:VT
Mailing Address - Zip Code:05062-9689
Mailing Address - Country:US
Mailing Address - Phone:802-291-2288
Mailing Address - Fax:
Practice Address - Street 1:39 CENTRAL ST
Practice Address - Street 2:SUITE 201A
Practice Address - City:WOODSTOCK
Practice Address - State:VT
Practice Address - Zip Code:05091-1029
Practice Address - Country:US
Practice Address - Phone:802-291-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0099130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1457556706Medicare PIN