NPI 1104603604

Jillian Mary Beal Ingerson, LMT

Practitioner Massage Therapist Bangor, ME

Practice location

Address: 130 Perry Rd, Bangor, ME 04401-6722
Phone: (207) 992-4000
Fax: (207) 558-3285
Mailing address: PO Box 6, Stillwater, ME 04489-0006

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT4637 (ME)

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Registry record

NPI: 1104603604
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2023
Record last updated: 11 Sep 2023

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.