Provider Demographics
NPI:1558191411
Name:KEEP MOVING VERMONT INC
Entity type:Organization
Organization Name:KEEP MOVING VERMONT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:SWINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:802-735-4208
Mailing Address - Street 1:94 HARVEST LN STE 204
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8997
Mailing Address - Country:US
Mailing Address - Phone:802-735-4208
Mailing Address - Fax:
Practice Address - Street 1:94 HARVEST LN STE 202
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-8997
Practice Address - Country:US
Practice Address - Phone:802-735-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy