NPI 1417406653

New Moon Bodywork and Wellness

Organisation Massage Therapist Westbrook, ME

Practice location

Address: 16 Elmwood Ave, Westbrook, ME 04092-3717
Phone: (207) 602-8583
Mailing address: 55 Lambert St APT 13, Portland, ME 04103-2130

Authorised official

Name: Catherine Marie Dougherty
Title: Sole Proprietor/Massage Therapist
Phone: (207) 602-8583

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT4268 (ME)

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Registry record

NPI: 1417406653
Entity type: Organization
NPI issued: 29 Sep 2016
Record last updated: 29 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.