Whalio Doctors

NPI 1083633002

Timothy Lee Wakeland, MSPT

Practitioner Specialist Ellsworth, ME

Practice location

Address
37 Commerce Park, Ellsworth, ME 04605-3383
Phone
(207) 667-2422
Fax
(207) 667-0135

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence PT1167 (ME)

Registry record

NPI
1083633002
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jul 2006
Record last updated
8 Jul 2007

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.