JACKPOT NPI 1386810034

NPI Information

NPI: 1386810034
Provider Name: JACKPOT

Doing Business As: CASCO WELLNESS CENTER

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
5 S CASCO VILLAGE RD
CASCO, ME
ZIP 04015
Phone: (207) 655-2520
Get Directions

JACKPOT is a massage therapist in Casco, ME. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. JACKPOT NPI is 1386810034. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Casco Wellness Center.

The provider's business location address is:

5 S CASCO VILLAGE RD
CASCO, ME
ZIP 04015-246
Phone: (207) 655-2520

The provider's authorized official is Lori Ann Shaw .
The authorized official title is Coordinator and has the following contact phone number (207) 655-2520.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 5/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT2492	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200719	OTHER	MAINE	ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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