Individual
TAMMY R MAWHINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
767 RIVER RD, MEXICO, ME 04257-1849
(207) 562-6061
Mailing address
PO BOX 128, PERU, ME 04290-0128
(207) 562-6061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5457057
ME
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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