Individual
BRENDA AYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1436
ME
225100000X
Physical Therapist
Primary
PT1436
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082 040909
ANTHEM BCBS
ME
05
—
314620099
—
ME
01
—
5305799
CIGNA
ME
01
—
MNT112
MACHIGONNE
ME
Enumeration date
03/28/2007
Last updated
04/23/2026
Update your record
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