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Individual

STEFANI SELLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, BCTMB, MMP

Contact information

Practice address
10 PEPPERELL SQ STE 203B, SACO, ME 04072-3393
(207) 494-5118
Mailing address
10 PEPPERELL SQ STE 203B, SACO, ME 04072-3393
(719) 649-2916

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16636
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
844546147
IRS
Enumeration date
04/01/2021
Last updated
02/04/2025
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