Individual
MR. MARK KENNETH THRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA, LMT, OTA
Contact information
Practice address
36 MELDEN DR, BRUNSWICK, ME 04011-9541
(207) 939-4872
Mailing address
36 MELDEN DR, BRUNSWICK, ME 04011-9541
(207) 939-4872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5860
ME
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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