Basic Information
| Provider Information | |||||||||
| NPI: | 1316356363 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KINSMAN | ||||||||
| FirstName: | ALLYSON | ||||||||
| MiddleName: | HIPP | ||||||||
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| Credential: | DPT | ||||||||
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| OtherLastName: | HIPP | ||||||||
| OtherFirstName: | ALLYSON | ||||||||
| OtherMiddleName: | KRISTEN | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 133 FAIRFIELD ST | ||||||||
| Address2: | |||||||||
| City: | SAINT ALBANS | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054781726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8025241064 | ||||||||
| FaxNumber: | 8025241025 | ||||||||
| Practice Location | |||||||||
| Address1: | 260 CREST RD STE 102 | ||||||||
| Address2: | |||||||||
| City: | SAINT ALBANS | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054789501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8025241064 | ||||||||
| FaxNumber: | 8025241025 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2014 | ||||||||
| LastUpdateDate: | 08/04/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 0400104672 | VT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.