NPI 1023146701
Geoffrey Rd Illingworth, PTATC
Practice location
- Address
- 36 Adams St, Westminster, VT 05158-9706
- Phone
- (802) 463-4725
Registered specialties (2)
Physical Therapist
Primary
Athletic Trainer
Registry record
- NPI
- 1023146701
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Mar 2007
- Record last updated
- 22 Aug 2007
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.