NPI 1063640035

Jennifer Ivy McNally, LMT

Practitioner Contractor Westbrook, ME

Practice location

Address: 300 Main St, Westbrook, ME 04092-4715
Phone: (207) 939-7425
Fax: (207) 854-2526

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MT1830 (ME)

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Registry record

NPI: 1063640035
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2009
Record last updated: 29 Jun 2009

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.