Most Relevant Information
Provider Data
| NPI Number: | 1003679986 |
| Provider Name: | AMY V WHITTEN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT7517 |
Most Important Dates
| Enumeration Date: | 02/02/2024 |
| Last Updated: | 02/02/2024 |
Provider Practice Location
37 DYER RD
DAYTON
ME
040057200
Practice Location Phone/Fax
| Phone: | 2073910423 |
| Fax: |
Provider Mailing Location
37 DYER RD
DAYTON
ME
040057200
Provider Mailing Phone/Fax
| Phone: | 2073910423 |
| Fax: |