IndividualActive
Chris Masillo, PA
NPI 1063478865 · Physician Assistant · Rutland, VT
Provider details
- NPI number
- 1063478865
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 055-0030658 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
215 Stratton Rd
Rutland, VT 05701-4621
Phone: (802) 773-3386
Fax: (802) 773-4578
Approximate (ZIP-level) locationGet directions
Mailing address
215 Stratton Rd
Rutland, VT 05701-4621
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.