Linda M Wacholtz, LMT

NPI #1255612594 in Boothbay, Maine

Provider Information

NPI Number: 1255612594
Entity Type: Individual
Name: Linda M Wacholtz, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 31, 2011
Last Updated: Aug 31, 2011

Practice Location

Address: 448 WISCASSET RD
City: Boothbay
State: Maine
ZIP Code: 04537-4624
Phone: (207) 315-5084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Massage Therapist	225700000X	Primary

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