Individual provider · Type 1 NPI

Jillene Renee Plummer, LMT

Massage Therapist · South Portland, ME

NPI number 1760720205 Active

Practice location

100 Brickhill Ave, Suite 301
South Portland, ME 04106-1999

Call (207) 879-7510 Map

Fax (207) 879-7511

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT4101 (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 1760720205

Jillene Renee Plummer, LMT's National Provider Identifier is 1760720205, issued on Jan 17, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Portland, ME. The record was last updated on Jan 17, 2013.