Active NPIIndividual providerSole proprietor

Mr. Glen Thibodeau, LMT

Massage Therapist in Madawaska, Maine

NPI Number1558293266
Practice location
81 Fox St, Madawaska, ME 04756-1457
Fax
—
Last updated
May 29, 2026

Glen Thibodeau is a Massage Therapist based in Madawaska, ME. Glen Thibodeau practices in Madawaska, ME and has the professional credentials of LMT. The NPI Number for Glen Thibodeau is 1558293266 and holds a License No. 1967 (ME). The current practice location address for Glen Thibodeau is 81 Fox St, Madawaska, ME 04756-1457 and can be reached out via phone at 207-728-6888.

Provider Profile Details

NPI Number
1558293266
Provider Name
Glen Thibodeau
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
81 Fox St, Madawaska, ME 04756-1457
Phone Number
207-728-6888
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
May 29, 2026
Last Update Date
May 29, 2026
Certification Date
May 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Fox St
Madawaska, ME 04756-1457
State
Maine
Zip
04756-1457
Phone Number
207-728-6888
Madawaska, ME 04756Get directions →

Provider Business Mailing Address Details

Address
447 Clavette St
Madawaska, ME 04756-1161
City
Madawaska
State
ME
Zip
04756-1161
Phone Number
207-316-2051

License Information

License Number
1967
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 Mr. Glen Thibodeau, LMT?

The NPI number of Mr. Glen Thibodeau, LMT is 1558293266. It was assigned on May 29, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Glen Thibodeau, LMT?

Mr. Glen Thibodeau, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number 1967.

Where does Mr. Glen Thibodeau, LMT practice?

The practice location is 81 Fox St, Madawaska, ME 04756-1457. The office can be reached at 207-728-6888 (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 1558293266 directly on the NPPES registry website.

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