Individual
TRACEY DORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPMT
Contact information
Practice address
220B ROUTE 133, WINTHROP, ME 04364-4019
(207) 446-5257
Mailing address
220 ROUTE 133, WINTHROP, ME 04364-4019
(207) 446-5257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6166
ME
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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