Individual
RYAN MICHAEL BENNETT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1017 SCHOOL ST, VEAZIE, ME 04401-6983
(207) 922-7306
Mailing address
557 BRUNSWICK ST, OLD TOWN, ME 04468-1926
(207) 922-7306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5986
ME
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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