NPI 1114630969

Thea Elijah, LAC

Practitioner Acupuncturist Brattleboro, VT

Practice location

Address: 1037 Western Ave, Brattleboro, VT 05301-7133
Phone: (802) 257-8622

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 091.0000188 (VT)

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Registry record

NPI: 1114630969
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2022
Record last updated: 26 Dec 2022

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.