Most Relevant Information
Provider Data
| NPI Number: | 1003256470 |
| Provider Name: | SEAN WILLIAM HASEY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT1855 |
Most Important Dates
| Enumeration Date: | 07/01/2013 |
| Last Updated: | 07/01/2013 |
Provider Practice Location
76 PARK AVE APT 3
PORTLAND
ME
041012226
Practice Location Phone/Fax
| Phone: | 2078315762 |
| Fax: |
Provider Mailing Location
76 PARK AVE APT 3
PORTLAND
ME
041012226
Provider Mailing Phone/Fax
| Phone: | 2078315762 |
| Fax: |