Healthcare Provider Details

I. General information

NPI: 1861089286
Provider Name (Legal Business Name): PATRICK MESSIER RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 12/31/2020
Certification Date: 12/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1558 E ALBANY RD
WEST GLOVER VT
05875-9601
US

IV. Provider business mailing address

1558 E ALBANY RD
WEST GLOVER VT
05875-9601
US

V. Phone/Fax

Practice location:
  • Phone: 802-525-9943
  • Fax:
Mailing address:
  • Phone: 802-525-9943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number1169
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number122.0000110
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: