IndividualActive
Brandon Halstead, P.T.A
NPI 1194192245 · Community Health Worker · Newport, VT
Provider details
- NPI number
- 1194192245
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- P.T.A
- Sex
- Male
- Sole proprietor
- No
- License
- TEI004216 (PA)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Practice location
35 Bel Aire Dr
Newport, VT 05855-4953
Phone: (802) 334-2878
Approximate (ZIP-level) locationGet directions
Mailing address
5930 Cornerstone Ct W Ste 300
San Diego, CA 92121-3772
Registry dates
- Enumerated
- 2015-08-25
- Last updated
- 2015-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.