The Lifestyle Athlete Plc

NPI #1437778008 in Williston, Vermont

Provider Information

NPI Number
1437778008
Entity Type
Organization
Organization Name
The Lifestyle Athlete Plc
Primary Specialty
Physical Therapist
Enumeration Date
Apr 13, 2020
Last Updated
Nov 2, 2024

Practice Location

Address
520 AVENUE D
State
Vermont
ZIP Code
05495-7136
Phone
(802) 388-2318

Authorized Official

Name
CASEY BACZEWSKI, PT
Title
OWNER
Phone
(802) 338-1406

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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