Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA THERIAULT, LMT
Active Sole ProprietorAMANDA THERIAULT, LMT is a Massage Therapist healthcare provider located in POWNAL, Maine. NPI 1861135287 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · POWNAL, ME
Registration Details
- NPI Number
- 1861135287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2022 (4.3117034914941 yrs)
- Last Updated
- Apr 14, 2022
- License
-
MT4301 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 ALLEN RDPOWNAL, ME, 040696036Browse ME providers · Browse ZIP 04069
- Phone
- 2074087551
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.