NPI 1073380465
Katelyn Jax
Practice location
- Address
- 78 S Main St, Rutland, VT 05701-4591
- Phone
- (802) 775-2381
- Mailing address
- PO Box 222, Rutland, VT 05702-0222
Registered specialties (2)
Case Manager/Care Coordinator
Primary
Peer Specialist
Registry record
- NPI
- 1073380465
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2023
- Record last updated
- 19 Nov 2024
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.