Individual provider · Type 1 NPI

Shannon Paul Reck, HS, IDMT

Other Technician · South Portland, ME

NPI number 1619015757 Active

Practice location

259 High Street, US Coast Guard Sector Northern New England
South Portland, ME 04106

Mailing address

144 Hawthorne Ln
Westbrook, ME 04092-2756

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1619015757

Shannon Paul Reck, HS, IDMT's National Provider Identifier is 1619015757, issued on Feb 1, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in South Portland, ME. The record was last updated on Jul 8, 2007.