=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063378560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROOTING WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2025
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 PINE ST # G15
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05401-4726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-230-0909
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 HEALY CT
-----------------------------------------------------
City | WATERBURY
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05676-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-724-5546
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACUPUNCTURIST, OWNER
-----------------------------------------------------
Name | HALEY DEMARCO
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 781-724-5546
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------