# IANNETTA MANIPULATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iannetta Osteopathic Manipulation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740573906
- **Authorized official:** DR. JOSHUA J IANNETTA D.O. (PRESIDENT)
- **Authorized official phone:** (207) 883-1003

## Contact information

- **Practice address:** 632 US ROUTE 1, SCARBOROUGH, ME 04074-9794
- **Practice address phone:** (207) 883-1003
- **Practice address fax:** (207) 883-5322
- **Mailing address:** 632 US ROUTE 1, SCARBOROUGH, ME 04074-9794
- **Mailing address phone:** (207) 883-1003
- **Mailing address fax:** (207) 883-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1897 | ME | Yes |

## Other

- **Enumeration date:** 05/20/2011
- **Last updated:** 11/07/2011