Organization Name: | EDGECO, LLC |
NPI Number: | 1366689986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAURA MALIA (OWNER) |
Mailing Address: | 108 Tandberg Trail Windham |
State: | ME US |
Postal Code: | 04062 |
Phone Number: | 2078930033 |
Fax Number: | 2078931211 |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |