Provider Demographics
NPI:1528626868
Name:ANDREA TROMBLEY PT AND YOGA LLC
Entity type:Organization
Organization Name:ANDREA TROMBLEY PT AND YOGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:802-324-1252
Mailing Address - Street 1:101 COLLAMER CIR
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7501
Mailing Address - Country:US
Mailing Address - Phone:802-324-1252
Mailing Address - Fax:
Practice Address - Street 1:5247 SHELBURNE RD STE 204
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7041
Practice Address - Country:US
Practice Address - Phone:802-505-6644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-02
Last Update Date:2019-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty