Active NPIIndividual providerSole proprietor

Mrs. Kellie M Berube, LMT

Massage Therapist in Augusta, Maine

NPI Number1801524806
Practice location
11 Lorette Ln, Augusta, ME 04330-4264
Fax
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Last updated
August 9, 2022

Kellie M Berube is a Massage Therapist based in Augusta, ME. Kellie M Berube practices in Augusta, ME and has the professional credentials of LMT. The NPI Number for Kellie M Berube is 1801524806 and holds a License No. Mt6069 (ME). The current practice location address for Kellie M Berube is 11 Lorette Ln, Augusta, ME 04330-4264 and can be reached out via phone at 207-441-7721.

Provider Profile Details

NPI Number
1801524806
Provider Name
Kellie M Berube
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
11 Lorette Ln, Augusta, ME 04330-4264
Phone Number
207-441-7721
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2022
Last Update Date
August 9, 2022
Certification Date
August 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Lorette Ln
Augusta, ME 04330-4264
State
Maine
Zip
04330-4264
Phone Number
207-441-7721
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
32 Monroe St
Augusta, ME 04330-4023
City
Augusta
State
ME
Zip
04330-4023
Phone Number
207-441-7721

License Information

License Number
Mt6069
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 Mrs. Kellie M Berube, LMT?

The NPI number of Mrs. Kellie M Berube, LMT is 1801524806. It was assigned on August 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kellie M Berube, LMT?

Mrs. Kellie M Berube, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number Mt6069.

Where does Mrs. Kellie M Berube, LMT practice?

The practice location is 11 Lorette Ln, Augusta, ME 04330-4264. The office can be reached at 207-441-7721 (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 1801524806 directly on the NPPES registry website.

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