Individual provider · Type 1 NPI

Mariellen L. Porter, C.M.T.

Massage Therapist · East Stroudsburg, PA

NPI number 1710005582 Active

Practice location

RR 2 Box 2172-A, Pine Ridge Road
East Stroudsburg, PA 18301-9636

Call (570) 223-2204 Map

Fax (570) 223-7221

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1710005582

Mariellen L. Porter, C.M.T.'s National Provider Identifier is 1710005582, issued on Mar 27, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Stroudsburg, PA. The record was last updated on Jul 8, 2007.