Active NPIIndividual provider

Alyssa Crockett, LMT

Contractor in South Portland, Maine

NPI Number1407682446
Practice location
118 Maine Mall RD, South Portland, ME 04106-2309
Fax
—
Last updated
September 9, 2024

Alyssa Crockett is a Contractor based in South Portland, ME. Alyssa Crockett practices in South Portland, ME and has the professional credentials of LMT. The NPI Number for Alyssa Crockett is 1407682446 and holds a License No. mt6607 (ME). The current practice location address for Alyssa Crockett is 118 Maine Mall RD, South Portland, ME 04106-2309 and can be reached out via phone at 207-772-1031.

Provider Profile Details

NPI Number
1407682446
Provider Name
Alyssa Crockett
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
118 Maine Mall RD, South Portland, ME 04106-2309
Phone Number
207-772-1031
Primary Taxonomy
Contractor · 171W00000X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2024
Last Update Date
September 9, 2024
Certification Date
September 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Maine Mall RD
South Portland, ME 04106-2309
State
Maine
Zip
04106-2309
Phone Number
207-772-1031
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
58 Academy St
Auburn, ME 04210-5705
City
Auburn
State
ME
Zip
04210-5705
Phone Number
207-461-5824

License Information

License Number
mt6607
License State
ME
Taxonomy
Contractor · 171W00000X · 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 Alyssa Crockett, LMT?

The NPI number of Alyssa Crockett, LMT is 1407682446. It was assigned on September 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Alyssa Crockett, LMT?

Alyssa Crockett, LMT is registered under the primary taxonomy Contractor (code 171W00000X), licensed in ME under license number mt6607.

Where does Alyssa Crockett, LMT practice?

The practice location is 118 Maine Mall RD, South Portland, ME 04106-2309. The office can be reached at 207-772-1031 (phone).

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 1407682446 directly on the NPPES registry website.

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