Individual
KELLIE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 774-5710
Mailing address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7221
ME
Other
Enumeration date
08/06/2025
Last updated
08/11/2025
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