Doctor Name: | MR. ROBERT SCOTT PHIPPS |
NPI Number: | 1548444847 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | MT3301 |
Business Practice Address: | 55 Main St Bridgton, ME - 040091117 |
Business Phone Number: | 2072525224 |
Business Fax Number: | |
Mailing Address: | 55 Main St, BRIDGTON |
State: | ME |
Postal Code: | 040091117 |
Phone Number: | 2072525224 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2007 |
NPI Last Update Date: | 12/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT3301 |
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. |