Individual
KATHLEEN GERENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
58 TENNEY ST, YARMOUTH, ME 04096-7963
(207) 939-4358
Mailing address
58 TENNEY ST, YARMOUTH, ME 04096-7963
(207) 939-4358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5359
ME
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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