| |
5 S Casco Village Rd, Casco, ME 04015-4246 | |
(207) 655-2520 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 5 S Casco Village Rd, Casco, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386810034 | NPI | - | NPPES |
200719 | Other | ME | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MT2492 (Maine) | Primary |
Mailing Address | Practice Location Address |
---|---|
5 S Casco Village Rd, Casco, ME 04015-4246 Ph: (207) 655-2520 | 5 S Casco Village Rd, Casco, ME 04015-4246 Ph: (207) 655-2520 |
Lori Ann Shaw, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 S Casco Village Rd, Casco, ME 04015 Phone: 207-655-2520 |