Individual
KELLY MALYNN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
291 MAIN ST, ORONO, ME 04473-3439
(207) 320-0154
Mailing address
556 MAIN ST, OLD TOWN, ME 04468-1827
(207) 320-0154
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6024
ME
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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