The Lifestyle Athlete Plc | |
1879 Williston Rd, South Burlington, VT 05403-6008 | |
(802) 338-1406 | |
Not Available |
Full Name | The Lifestyle Athlete Plc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1879 Williston Rd, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437778008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Casey Baczewski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619420080 PECOS PAC ID: 4789970716 Enrollment ID: I20160831000545 |
Provider Name | Crystal Marie Bryce |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427641489 PECOS PAC ID: 0648686543 Enrollment ID: I20210301001282 |
Mailing Address | Practice Location Address |
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The Lifestyle Athlete Plc 175 Kennedy Dr Apt 17, South Burlington, VT 05403-6787 Ph: (802) 338-1406 | The Lifestyle Athlete Plc 1879 Williston Rd, South Burlington, VT 05403-6008 Ph: (802) 338-1406 |
Lone Pedersen Barlous, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Williston Rd, South Burlington, VT 05403 Phone: 802-660-3110 Fax: 802-860-4396 | |
Ms. Brenda Currier Hilfrank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 192 Tilley Dr, South Burlington, VT 05403 Phone: 802-847-7910 Fax: 802-847-6987 | |
Miss Amy D Candon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Kennedy Dr Unit 3, South Burlington, VT 05403 Phone: 802-863-3323 Fax: 802-863-3288 | |
Movement Matters Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Farrell St Ste 7, South Burlington, VT 05403 Phone: 802-318-5564 Fax: 877-659-1695 | |
Dr. Michelle Yargeau, PT, DPT, CWS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Iris Ln, South Burlington, VT 05403 Phone: 413-364-4801 | |
Julie Watson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Kimball Ave, Suite 115, South Burlington, VT 05403 Phone: 615-778-4066 Fax: 615-778-9114 | |
Amanda Klaczko, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Eastwood Dr, South Burlington, VT 05403 Phone: 802-860-0209 |