Justine L Jeffrey, CMTPT
Individual provider Active NPI Specialist · Brattleboro, VT
NPI 1639200637 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639200637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 6 Prospect St
Suite 101
Brattleboro, VT 05301-6469 - Phone
- (802) 251-0155
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
6 Prospect St
Suite 101
Brattleboro, VT 05301-6469
Mailing address
6 Prospect St
Suite 101
Brattleboro, VT 05301-6469
Phone (802) 251-0155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 989906 | Other | CMTPT |
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.