MEDICARE: ZOMAR INC

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
1	225700000X	Massage Therapist	N/A	VT

General Provider Information

NPI Number	:	1982798906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOMAR INC

Provider Business Mailing Address
First Line	:	PO BOX 1556
Second Line	:	32 UPPER HANDLE RD
City	:	WEST DOVER
State	:	VT
Zip	:	05356-1556
Country	:	US
Telephone Number	:	802-464-5602
Fax Number	:	802-464-5602

Provider Business Practice Location Address
First Line	:	32 UPPER HANDLE RD
Second Line	:
City	:	WEST DOVER
State	:	VT
Zip	:	05356-1556
Country	:	US
Telephone Number	:	802-464-5602
Fax Number	:	802-464-5602

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARCI L HIMELSON
Credential	:	C.M.T.
Telephone Number	:	802-464-5602

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/22/2020

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