Active NPIIndividual providerSole proprietor

Patricia Jacobsen Kaczmarek, LMT

Massage Therapist in Windham, Maine

NPI Number1174767800
Practice location
108 Tandberg Trail, Windham, ME 04062
Fax
207-893-1211
Last updated
April 24, 2009

Patricia Jacobsen Kaczmarek is a Massage Therapist based in Windham, ME. Patricia Jacobsen Kaczmarek practices in Windham, ME and has the professional credentials of LMT. The NPI Number for Patricia Jacobsen Kaczmarek is 1174767800 and holds a License No. MT2587 (ME). The current practice location address for Patricia Jacobsen Kaczmarek is 108 Tandberg Trail, Windham, ME 04062 and can be reached out via phone at 207-893-0033 and via fax at 207-893-1211.

Provider Profile Details

NPI Number
1174767800
Provider Name
Patricia Jacobsen Kaczmarek
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
108 Tandberg Trail, Windham, ME 04062
Phone Number
207-893-0033
Fax Number
207-893-1211
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2009
Last Update Date
April 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Tandberg Trail
Windham, ME 04062
State
Maine
Zip
04062
Phone Number
207-893-0033
Fax Number
207-893-1211
Windham, ME 04062Get directions →

Provider Business Mailing Address Details

Address
Po Box 2048
Windham, ME 04062-2048
City
Windham
State
ME
Zip
04062-2048
Phone Number
207-893-0033
Fax Number
207-893-1211

License Information

License Number
MT2587
License State
ME
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patricia Jacobsen Kaczmarek, LMT?

The NPI number of Patricia Jacobsen Kaczmarek, LMT is 1174767800. It was assigned on April 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Patricia Jacobsen Kaczmarek, LMT?

Patricia Jacobsen Kaczmarek, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number MT2587.

Where does Patricia Jacobsen Kaczmarek, LMT practice?

The practice location is 108 Tandberg Trail, Windham, ME 04062. The office can be reached at 207-893-0033 (phone) or 207-893-1211 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174767800 directly on the NPPES registry website.

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