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Amanda Theriault, LMT
Massage Therapist in Pownal, Maine
NPI 1861135287

Amanda Theriault is a Massage Therapist based in Pownal, ME. Amanda Theriault practices in Pownal, ME and has the professional credentials of LMT. The NPI Number for Amanda Theriault is 1861135287 and holds a License No. MT4301 (Maine).

The current practice location address for Amanda Theriault is 108 Allen Rd, Pownal, ME and can be reached out via phone at 207-408-7551.

Location: 108 Allen Rd, Pownal, ME, 04069-6036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861135287
Provider Name
Amanda Theriault
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
108 Allen Rd, Pownal, ME, 04069-6036
Phone Number
207-408-7551
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Allen Rd
City
Pownal
State
Maine
Zip
04069-6036
Phone Number
207-408-7551
Fax Number
person
Provider Business Mailing Address Details
Address
108 Allen Rd
City
Pownal
State
Maine
Zip
04069-6036
Phone Number
207-408-7551
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT4301 (Maine)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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