Joshua Davis, LMT

NPI #1114270691 in South Portland, Maine

Provider Information

NPI Number: 1114270691
Entity Type: Individual
Name: Joshua Davis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 20, 2012
Last Updated: Feb 17, 2015

Practice Location

Address: 629 MAIN ST
City: South Portland
State: Maine
ZIP Code: 04106-5415
Phone: (207) 592-0884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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