Theresa Whited

NPI #1801543160 in Gardiner, Maine

Provider Information

NPI Number: 1801543160
Entity Type: Individual
Name: Theresa Whited
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 7, 2022
Last Updated: Mar 7, 2022

Practice Location

Address: 1 LINCOLN AVE
City: Gardiner
State: Maine
ZIP Code: 04345-2133
Phone: (207) 215-9327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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