Provider Demographics
NPI:1447951249
Name:ANAND, NATASHA (PT,DPT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:ANAND
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 S MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05676-1540
Mailing Address - Country:US
Mailing Address - Phone:802-882-8538
Mailing Address - Fax:
Practice Address - Street 1:80 S MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:VT
Practice Address - Zip Code:05676-1540
Practice Address - Country:US
Practice Address - Phone:802-882-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0134557225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist