Sage of the Light LLC

NPI #1164130639 in Naples, Maine

Provider Information

NPI Number: 1164130639
Entity Type: Organization
Organization Name: Sage of the Light LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 1798 ROOSEVELT TRAIL
City: Naples
State: Maine
ZIP Code: 04055
Phone: (207) 693-3240

Authorized Official

Name: MR. GREGORY ALLEN PHILLIPS, LMT
Title: OWNER/MEMBER
Phone: (207) 693-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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