NPI 1467413930

Lisa M. Tidman, PTA

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Williston, VT

Practice location

Address: 30 Hawthorne St, Williston, VT 05495-8212
Phone: (802) 876-6100
Mailing address: 14 Forest Rd, Essex, VT 05452-3818

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 041-0000385 (VT)

Other Physical Medicine & Rehabilitation providers in Vermont →

Registry record

NPI: 1467413930
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2006
Record last updated: 13 Jul 2026

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.