Individual provider · Type 1 NPI
Justin Lee Brousseau, LMT
Massage Therapist · Lewiston, ME
NPI number
1235431370
Active
Practice location
183 Main St
Lewiston, ME 04240-7016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT4322 (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.
Another provider at this address
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About NPI 1235431370
Justin Lee Brousseau, LMT's National Provider Identifier is 1235431370, issued on Nov 22, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ME. The record was last updated on Sep 19, 2012.