Individual
STEVEN W MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 450-0994
(207) 799-0794
Mailing address
10 DEERING ST APT 3, PORTLAND, ME 04101-2340
(207) 450-0994
(207) 799-0794
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1658
ME
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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