Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0117249 | VT |
NPI | 1093183659 |
---|---|
Provider Name | Dr. Richard Weatherby |
First Address | Hartland, VT 05048-9606 |
Second Address | Hartland, VT 05048-9606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2015 |
Last Update Date | 15/07/2016 |