Individual
ELIZABETH MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
640 BRIGHTON AVE STE 9, PORTLAND, ME 04102-1047
(207) 956-0612
Mailing address
640 BRIGHTON AVE STE 9, PORTLAND, ME 04102-1047
(207) 956-0612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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