Organization
LIFESTYLES MASSAGE INC
Active
Other names
Revelation Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLEY JANE JACQUES LMT (OWNER/PRESIDENT)
(207) 376-3233
Entity
Organization
Contact information
Practice address
600 TURNER ST, SUITE 3, AUBURN, ME 04210-5299
(207) 376-3233
(207) 376-3236
Mailing address
600 TURNER ST, SUITE 3, AUBURN, ME 04210-5299
(207) 376-3233
(207) 376-3236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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