Provider Demographics
NPI:1285167247
Name:WAITE, RHEA STAR GRIECO (ND)
Entity type:Individual
Prefix:DR
First Name:RHEA
Middle Name:STAR GRIECO
Last Name:WAITE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:VT
Mailing Address - Zip Code:05143-8565
Mailing Address - Country:US
Mailing Address - Phone:971-319-1653
Mailing Address - Fax:
Practice Address - Street 1:160 WALL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-3528
Practice Address - Country:US
Practice Address - Phone:971-319-1653
Practice Address - Fax:833-992-1934
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4067175F00000X
VT099.0134114175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath