NPI 1417344250

Jennifer Etheridge, LAC

Practitioner Acupuncturist Randolph, VT

Practice location

Address: 4 Summer St, Randolph, VT 05060-1175
Phone: (802) 246-7750
Mailing address: 17 Summer St, Randolph, VT 05060-1162

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 091.0098544 (VT)

Other Acupuncturist providers in Vermont →

Registry record

NPI: 1417344250
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2015
Record last updated: 20 Apr 2015

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.