Individual provider · Type 1 NPI
Glen Thibodeau, LMT
Massage Therapist · Madawaska, ME
NPI number
1558293266
Active
Practice location
81 Fox St
Madawaska, ME 04756-1457
Mailing address
447 Clavette St
Madawaska, ME 04756-1161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1967 (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.
About NPI 1558293266
Glen Thibodeau, LMT's National Provider Identifier is 1558293266, issued on May 29, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madawaska, ME. The record was last updated on May 29, 2026.