Individual
CHELSEA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
808 STEVENS AVE, PORTLAND, ME 04103-3068
(207) 797-5868
(207) 797-5498
Mailing address
9 MUNROE LN, TOPSHAM, ME 04086-1228
(207) 333-0615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4037
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT4037
MASSAGE THERAPIST LICENSE
ME
Enumeration date
08/25/2021
Last updated
08/25/2021
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