Organization
REID WILLIAM SALON & DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE THERIAULT (PRESIDENT)
(207) 772-1772
Entity
Organization
Contact information
Practice address
509 FOREST AVE STE 4, PORTLAND, ME 04101-1521
(207) 772-1772
(207) 772-1744
Mailing address
509 FOREST AVE STE 4, PORTLAND, ME 04101-1521
(207) 772-1772
(207) 772-1744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
ES35682
ME
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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