TIFFANY RENAUD INC. NPI 1366618118

NPI Information

TIFFANY RENAUD, INC. is a chiropractor in South Burlington, VT. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. TIFFANY RENAUD, INC. NPI is 1366618118. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Living Well Spinal Care Center.

The provider's business location address is:

3000 WILLISTON RD
SUITE 3
SOUTH BURLINGTON, VT
ZIP 05403-082
Phone: (802) 658-6092
Fax: (802) 863-9565

The provider's authorized official is Tiffany Renaud .
The authorized official title is President and has the following contact phone number (802) 658-6092.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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