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Vivianne Mallett, PTA, CES

NPI 1669302097 · on the registry since 2026

Practice

Address
24 Old Etna Rd
Lebanon, NH 03766
Phone
(844) 570-5714
Organisation at this address
24 Old Etna Road Opco, Llc
24 Old Etna Road Operations Llc
Mckerley Health Care Centers Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire