Organization
MUSCULAR THERAPY CLINIC, LLC
Active
Other names
CHARLES HASTINGS DBA MUSCULAR THERAPY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES HASTINGS LMT (OWNER, DIRECTOR)
(207) 780-1151
Entity
Organization
Contact information
Practice address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 780-1151
(207) 347-8098
Mailing address
97 INDIA ST, PORTLAND, ME 04101-4248
(207) 780-1151
(207) 347-8098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1476
ME
Other
Enumeration date
05/09/2007
Last updated
09/24/2008
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