MEDICARE: VERMONT NATURAL FAMILY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1942670609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERMONT NATURAL FAMILY HEALTH

Provider Business Mailing Address
First Line	:	8 SHARD VILLA RD
Second Line	:
City	:	SALISBURY
State	:	VT
Zip	:	05769-9432
Country	:	US
Telephone Number	:	802-352-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 SHARD VILLA RD
Second Line	:
City	:	SALISBURY
State	:	VT
Zip	:	05769-9432
Country	:	US
Telephone Number	:	802-352-9078
Fax Number	:

Authorized Official
Title or Position	:	PRESDENT
Name	:	KATINA MARTIN
Credential	:	ND
Telephone Number	:	802-352-9078

Provider Enumeration Date	:	10/06/2015
Last Update Date	:	10/06/2015

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