Individual provider · Type 1 NPI
Amanda Theriault, LMT
Massage Therapist · Pownal, ME
NPI number
1861135287
Active
Practice location
108 Allen Rd
Pownal, ME 04069-6036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT4301 (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 1861135287
Amanda Theriault, LMT's National Provider Identifier is 1861135287, issued on Apr 14, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pownal, ME. The record was last updated on Apr 14, 2022.