Organization
MEDSPORT MASSAGE, LLC
Active
Other names
Susan M Peters, Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN M PETERS LICENSED MASSAGE THE (OWNER OF MEDSPORT MASSAGE)
(207) 807-7465
Entity
Organization
Contact information
Practice address
39 RIVER ROAD, SUITE 1, NEW CASTLE, ME 04553-0074
(207) 807-7465
(207) 882-7439
Mailing address
MEDSPORT MASSAGE, PO BOX 74, NEW CASTLE, ME 04553-0074
(207) 807-7465
(207) 882-7439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4833
ME
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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