NPI 1497824452

Keith Heinz Schaller, DC

Practitioner Sports Physician Chiropractor Waterbury, VT

Practice location

Address: 65 S Main St Suite 2, Waterbury, VT 05676-1550
Phone: (802) 244-1365
Fax: (802) 244-0840

Registered specialties

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence 0060001123 (VT)

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Registry record

NPI: 1497824452
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2006
Record last updated: 8 Jul 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.