NPI 1659794360

Gretchen Edgecomb

Practitioner Massage Therapist Gorham, ME

Practice location

Address: 358 Main St, Gorham, ME 04038-1314
Phone: (207) 222-2118

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT4410 (ME)

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Registry record

NPI: 1659794360
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2014
Record last updated: 31 Jan 2014

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.