Individual provider · Type 1 NPI

Walter Raymond Selens, L.M.T.

Massage Therapist · Portland, ME

NPI number 1366579955 Active

Practice location

500 Forest Ave., 2nd Floor
Portland, ME 04101

Call (207) 838-4394 Map

Fax (207) 878-3314

Mailing address

500 Forest Ave, 2nd Floor
Portland, ME 04101

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT1104 (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.

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About NPI 1366579955

Walter Raymond Selens, L.M.T.'s National Provider Identifier is 1366579955, issued on Feb 28, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, ME. The record was last updated on Jul 24, 2012.