Most Relevant Information
Provider Data
| NPI Number: | 1003646506 |
| Provider Name: | AMY WHITMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT7714 |
Most Important Dates
| Enumeration Date: | 08/07/2024 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
2402 US-2
HERMON
ME
04401
Practice Location Phone/Fax
| Phone: | 2079222321 |
| Fax: |
Provider Mailing Location
8 BRAINARD CT APT B
HERMON
ME
044010499
Provider Mailing Phone/Fax
| Phone: | 2074784489 |
| Fax: |