Individual provider · Type 1 NPI

Timothy Lee Wakeland, MSPT

Specialist · Ellsworth, ME

NPI number 1083633002 Active

Practice location

37 Commerce Park
Ellsworth, ME 04605-3383

Fax (207) 667-0135

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT1167 (ME)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083633002

Timothy Lee Wakeland, MSPT's National Provider Identifier is 1083633002, issued on Jul 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellsworth, ME. The record was last updated on Jul 8, 2007.