Individual provider · Type 1 NPI
Alan Michael Maynard, LAT, ATC
Specialist · Burlington, VT
NPI number
1477595452
Active
Practice location
213A Patrick Gymnasium, 97 Spear St.
Burlington, VT 05405-0001
Mailing address
42 Crystal Rd
Fairfax, VT 05454-9572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1040000092 (VT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477595452
Alan Michael Maynard, LAT, ATC's National Provider Identifier is 1477595452, issued on Jun 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Burlington, VT. The record was last updated on Jul 13, 2026.