Individual
STACY ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
853 E BENTON RD, BENTON, ME 04901-2839
(207) 861-2515
Mailing address
853 E BENTON RD, BENTON, ME 04901-2839
(207) 861-2515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4433
ME
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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