Individual provider · Type 1 NPI
Kevin Paul Riley, LMT, NCTMB
Massage Therapist · Bangor, ME
NPI number
1497870703
Active
Practice location
147 Palm St
Bangor, ME 04401-4021
Mailing address
360 Church Rd
Bangor, ME 04401-2138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT3184 (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 1497870703
Kevin Paul Riley, LMT, NCTMB's National Provider Identifier is 1497870703, issued on Mar 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bangor, ME. The record was last updated on Jul 8, 2007.