Individual
MCKAYLA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CITY CTR STOP 1, PORTLAND, ME 04101-4009
(207) 699-2622
Mailing address
PO BOX 7640, PORTLAND, ME 04112-7640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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