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INTEGRATIVE SOMATIC TRAUMA THERAPY NPI 1740880822


NPI Information

NPI: 1740880822
Provider Name: INTEGRATIVE SOMATIC TRAUMA THERAPY
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
45 GRAND ST APT 4
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 815-0371
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INTEGRATIVE SOMATIC TRAUMA THERAPY is a health service clinic center in South Portland, ME. INTEGRATIVE SOMATIC TRAUMA THERAPY NPI is 1740880822. The provider is registered as an organization entity type.

The provider's business location address is:

45 GRAND ST APT 4
SOUTH PORTLAND, ME
ZIP 04106-268
Phone: (207) 815-0371

The provider's authorized official is Gale Kurtz .
The authorized official title is Owner and has the following contact phone number (207) 815-0371.

The enumeration date for this NPI number is 10/28/2020 and was last updated on 10/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

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: 4/28/2024

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