Provider Demographics
NPI:1801519681
Name:BRIAN AUCTER PHYSICAL THERAPY PLC
Entity type:Organization
Organization Name:BRIAN AUCTER PHYSICAL THERAPY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:315-408-2333
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05464-0103
Mailing Address - Country:US
Mailing Address - Phone:802-644-8011
Mailing Address - Fax:802-644-8047
Practice Address - Street 1:5016 ROUTE 15
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05464
Practice Address - Country:US
Practice Address - Phone:802-644-8011
Practice Address - Fax:802-644-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty