NPI 1710005582
Mariellen L Porter, CMT
Practice location
- Address
- Rr 2 Box 2172-A Pine Ridge Road, East Stroudsburg, PA 18301-9636
- Phone
- (570) 223-2204
- Fax
- (570) 223-7221
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1710005582
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Mar 2007
- 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.