MEDICARE: HEALING WITHIN CHIROPRACTIC & WELLNESS CENTER, LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1982816377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING WITHIN CHIROPRACTIC & WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	1 MILL ST
Second Line	:	SUITE 175
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1530
Country	:	US
Telephone Number	:	802-862-5600
Fax Number	:	802-862-5600

Provider Business Practice Location Address
First Line	:	1 MILL ST
Second Line	:	SUITE 175
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1530
Country	:	US
Telephone Number	:	802-862-5600
Fax Number	:	802-862-5600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS MEGAN MOIR
Credential	:
Telephone Number	:	802-862-5600

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	08/22/2020

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