Individual
TAMMY MARTIN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
380 WESTERN AVE, SOUTH PORTLAND, ME 04106-1720
(207) 233-7731
Mailing address
PO BOX 10643, PORTLAND, ME 04104-6043
(207) 233-7731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1256
ME
Other
Enumeration date
08/12/2008
Last updated
09/13/2018
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