IndividualActive
Alan Maynard, LAT, ATC
NPI 1477595452 · Specialist · Burlington, VT
Provider details
- NPI number
- 1477595452
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- License
- 1040000092 (VT)
Practice location
213a Patrick Gymnasium
97 Spear St.
Burlington, VT 05405-0001
Phone: (802) 656-7678
Mailing address
42 Crystal Rd
Fairfax, VT 05454-9572
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.