Amanda Theriault, LMT is a
Massage Therapist based in Pownal, Maine. Amanda Theriault is licensed to practice in Maine (license number MT4301) and her current practice location is
108 Allen Rd, Pownal, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 408-7551.
NPI number for Amanda Theriault is 1861135287 and her current mailing address is 108 Allen Rd, Pownal, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861135287.
Healthcare Provider's Profile
Full Name | Amanda Theriault |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 108 Allen Rd, Pownal, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861135287
- Provider Enumeration Date: 04/14/2022
- Last Update Date: 04/14/2022
Medical Identifiers
Medical identifiers for Amanda Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861135287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT4301 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Theriault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Theriault, LMT 108 Allen Rd, Pownal, ME 04069-6036 Ph: (207) 408-7551 | Amanda Theriault, LMT 108 Allen Rd, Pownal, ME 04069-6036 Ph: (207) 408-7551 |
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