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NPI Code Detail

MEDICARE: PERRY LOUISA MCGHEE

MEDICARE: PERRY LOUISA MCGHEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist040.0134619VT
22255A2300XAthletic TrainerAT001666VT

General Provider Information

NPI Number : 1174093413
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERRY LOUISA MCGHEE
Provider Business Mailing Address
First Line : 190 S MAIN ST # 1
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4812
Country : US
Telephone Number : 802-775-1300
Fax Number : 802-773-9300
Provider Business Practice Location Address
First Line : 190 S MAIN ST STE 1
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4812
Country : US
Telephone Number : 802-775-1300
Fax Number : 802-773-9300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2018
Last Update Date : 01/28/2026

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Directions to “ PERRY LOUISA MCGHEE ” Practice Location

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