Individual
MISTY EDGECOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
185 WEBSTER ST STE 14A, LEWISTON, ME 04240-5500
(207) 240-6415
Mailing address
26 OAKLAND ST, AUBURN, ME 04210-4742
(207) 240-6415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2161
ME
Other
Enumeration date
10/05/2012
Last updated
07/21/2022
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