Individual provider · Type 1 NPI
Jillian Mary Beal Ingerson, LMT
Massage Therapist · Bangor, ME
NPI number
1104603604
Active
Practice location
130 Perry Rd
Bangor, ME 04401-6722
Fax (207) 558-3285
Mailing address
PO Box 6
Stillwater, ME 04489-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT4637 (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.
2 other providers at this address
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About NPI 1104603604
Jillian Mary Beal Ingerson, LMT's National Provider Identifier is 1104603604, issued on Sep 11, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bangor, ME. The record was last updated on Sep 11, 2023.