Individual
THERESA WHITED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LINCOLN AVE, GARDINER, ME 04345-2133
(207) 215-9327
Mailing address
1 LINCOLN AVE, GARDINER, ME 04345-2133
(207) 215-9327
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6070
ME
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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