Jessica Ann Greenbaum, LMT

NPI #1063780252 in Mount Desert, Maine

Provider Information

NPI Number: 1063780252
Entity Type: Individual
Name: Jessica Ann Greenbaum, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 2, 2011
Last Updated: Dec 2, 2011

Practice Location

Address: 364 SOUND DR
City: Mount Desert
State: Maine
ZIP Code: 04660-6612
Phone: (207) 276-3031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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