Alyssa Crockett, LMT

NPI #1407682446 in South Portland, Maine

Provider Information

NPI Number: 1407682446
Entity Type: Individual
Name: Alyssa Crockett, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 118 MAINE MALL RD
City: South Portland
State: Maine
ZIP Code: 04106-2309
Phone: (207) 772-1031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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