MUSCULAR THERAPY CLINIC LLC NPI 1659585032

NPI Information

MUSCULAR THERAPY CLINIC, LLC is a massage therapist in Portland, 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. MUSCULAR THERAPY CLINIC, LLC NPI is 1659585032. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Charles Hastings Dba Muscular Therapy Clinic.

The provider's business location address is:

97 INDIA ST
PORTLAND, ME
ZIP 04101-248
Phone: (207) 780-1151
Fax: (207) 347-8098

The provider's authorized official is Charles Hastings .
The authorized official title is Owner, Director and has the following contact phone number (207) 780-1151.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 9/24/2008.

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:

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