Doctor Name: | MRS. MARGARET ANNE SMITH |
NPI Number: | 1699793794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR LMT |
License Number: | MT2661 |
Business Practice Address: | 1012 Union St Bangor, ME - 044010000 |
Business Phone Number: | 2079455247 |
Business Fax Number: | 2079470435 |
Mailing Address: | 1048 Union St, Suite 5 BANGOR |
State: | ME |
Postal Code: | 044010000 |
Phone Number: | 2079455247 |
Fax Number: | 2079470435 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT2661 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |