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Organization
MASSAGECRAFT INC.
Active
Organization
MASSAGECRAFT INC.
Active
Parent organization
MASSAGECRAFT & ACUPUNCTURE CLINIC
Other names
Massagecraft & Acupuncture Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASSAGECRAFT & ACUPUNCTURE CLINIC
Authorized official
LISA ANNE BOUCHARD LMT, LAC (OWNER, ACUPUNCTURIST, MASSAGE THERA)
(207) 286-8416
Entity
Organization
Contact information
Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 286-8416
Mailing address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 286-8416
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC209
ME
225700000X
Massage Therapist
MT410
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083816870
NPI, INDIVIDUAL
ME
Enumeration date
03/12/2010
Last updated
03/12/2010
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