MOUNTAINSIDE CHIROPRACTIC NPI 1386235307

NPI Information

  • NPI: 1386235307
  • Provider Name: MOUNTAINSIDE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Other Name: MOUNTAINSIDE COMMUNITY WELLNESS CENTER
  • Address: 321 ROUTE 113
    EAST THETFORD, VT
    ZIP 05043
  • Phone: (802) 565-0424

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NPI Details

MOUNTAINSIDE CHIROPRACTIC is a chiropractor in East Thetford, 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. MOUNTAINSIDE CHIROPRACTIC NPI is 1386235307. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mountainside Community Wellness Center.

The provider's business location address is:

321 ROUTE 113
EAST THETFORD, VT
ZIP 05043
Phone: (802) 565-0424

The provider's authorized official is Bonny R Payne .
The authorized official title is Owner and has the following contact phone number (802) 565-0424.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 11/5/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
2111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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