Healthcare Provider Details

I. General information

NPI: 1679739494
Provider Name (Legal Business Name): VREELAND CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 03/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 OLCOTT DR SUITE U1
WHITE RIVER JUNCTION VT
05001-9601
US

IV. Provider business mailing address

331 OLCOTT DR SUITE U1
WHITE RIVER JUNCTION VT
05001-9601
US

V. Phone/Fax

Practice location:
  • Phone: 802-649-3122
  • Fax: 802-649-3139
Mailing address:
  • Phone: 802-649-3122
  • Fax: 802-649-3139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY KEITH VREELAND
Title or Position: CLINIC DIRECTOR
Credential: DC, DACNB
Phone: 802-649-3122