Provider Demographics
NPI:1679447676
Name:PHILLIPS, HALLE (DPT)
Entity type:Individual
Prefix:MRS
First Name:HALLE
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:HALLE
Other - Middle Name:
Other - Last Name:DEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:4974 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-5352
Mailing Address - Country:US
Mailing Address - Phone:802-328-8217
Mailing Address - Fax:
Practice Address - Street 1:4974 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-5352
Practice Address - Country:US
Practice Address - Phone:802-328-8217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400134284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist