Whalio Doctors

NPI 1407682446

Alyssa Crockett, LMT

Practitioner Contractor South Portland, ME

Practice location

Address
118 Maine Mall Rd, South Portland, ME 04106-2309
Phone
(207) 772-1031
Mailing address
58 Academy St, Auburn, ME 04210-5705

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence MT6607 (ME)

Registry record

NPI
1407682446
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Sep 2024
Record last updated
9 Sep 2024

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.