Individual
MARSHALL CRAGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 FREE ST, PORTLAND, ME 04101-3925
(207) 773-8393
Mailing address
116 FREE ST, PORTLAND, ME 04101-3925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4113
ME
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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