Individual
MS. ALEXANDRA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T, NCTMB
Contact information
Practice address
85 E ST, SOUTH PORTLAND, ME 04106-2870
(978) 314-0554
Mailing address
162 WASHBURN AVE APT 3, PORTLAND, ME 04102-2827
(978) 314-0554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 1640
ME
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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