Healthcare Provider Details

I. General information

NPI: 1003710393
Provider Name (Legal Business Name): JULIE BACHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ELM ST
MONTPELIER VT
05602-2205
US

IV. Provider business mailing address

243 BRIDGE ST APT 8
MORRISVILLE VT
05661-6172
US

V. Phone/Fax

Practice location:
  • Phone: 802-223-0954
  • Fax:
Mailing address:
  • Phone: 802-793-2553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number164.0001303
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: