NPI 1114270691

Joshua Davis, LMT

Practitioner Massage Therapist South Portland, ME

Practice location

Address: 629 Main St, South Portland, ME 04106-5415
Phone: (207) 592-0884

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT4617 (ME)

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Registry record

NPI: 1114270691
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2012
Record last updated: 17 Feb 2015

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.