Andrew O'connell-Shevenell, LMT

NPI #1043642184 in Portland, Maine

Provider Information

NPI Number: 1043642184
Entity Type: Individual
Name: Andrew O'connell-Shevenell, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 222 SAINT JOHN ST
Address 2: SUITE 208
City: Portland
State: Maine
ZIP Code: 04102-3041
Phone: (207) 358-9631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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