Individual provider · Type 1 NPI
Jessica Ann Greenbaum, LMT
Massage Therapist · Mount Desert, ME
NPI number
1063780252
Active
Practice location
364 Sound Dr
Mount Desert, ME 04660-6612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT157 (ME) |
Massage Therapist: 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.
About NPI 1063780252
Jessica Ann Greenbaum, LMT's National Provider Identifier is 1063780252, issued on Dec 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Desert, ME. The record was last updated on Dec 2, 2011.