Individual
ELIZABETH KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
388 OCEAN ST, SOUTH PORTLAND, ME 04106-6610
(617) 447-0181
Mailing address
388 OCEAN ST, SOUTH PORTLAND, ME 04106-6610
(617) 447-0181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5939
ME
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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