Healthcare Provider Details
I. General information
NPI: 1558080390
Provider Name (Legal Business Name): SPRIGS AND TWIGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
463 TURNPIKE RD
JAFFREY NH
03452-6675
US
IV. Provider business mailing address
463 TURNPIKE RD
JAFFREY NH
03452-6675
US
V. Phone/Fax
- Phone: 603-801-9282
- Fax:
- Phone: 603-801-9282
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROSALIND
BERTRAM
Title or Position: OWNER
Credential:
Phone: 603-801-9282