Muscular Therapy Clinic, LLC

NPI #1659585032 in Portland, Maine

Provider Information

NPI Number: 1659585032
Entity Type: Organization
Organization Name: Muscular Therapy Clinic, LLC
Primary Specialty: Massage Therapist
Enumeration Date: May 9, 2007
Last Updated: Sep 24, 2008

Practice Location

Address: 97 INDIA ST
City: Portland
State: Maine
ZIP Code: 04101-4248
Phone: (207) 780-1151

Authorized Official

Name: MR. CHARLES HASTINGS, LMT
Title: OWNER, DIRECTOR
Phone: (207) 780-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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