NPI 1669731477

Life Source Chiropractic INC.

Organisation Chiropractor Rutland, VT

Practice location

Address: 90 Mahoney Ave, Rutland, VT 05701-4836
Phone: (802) 773-0010
Fax: (802) 773-0010

Authorised official

Name: Jared Galster
Title: President
Phone: (802) 773-0010

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 0060072505 (VT)

Other Chiropractor providers in Vermont →

Registry record

NPI: 1669731477
Entity type: Organization
NPI issued: 14 May 2012
Record last updated: 26 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.