Whalio Doctors

NPI 1710005582

Mariellen L Porter, CMT

Practitioner Massage Therapist East Stroudsburg, PA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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.