MEDICARE: DANIEL T. CROWLEY LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173C00000X	Reflexologist	MT3689	ME

General Provider Information

NPI Number	:	1376824185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL T. CROWLEY LMT

Provider Business Mailing Address
First Line	:	PO BOX 581
Second Line	:
City	:	SKOWHEGAN
State	:	ME
Zip	:	04976-0581
Country	:	US
Telephone Number	:	207-431-8325
Fax Number	:	207-474-8497

Provider Business Practice Location Address
First Line	:	22 CLEVELAND ST
Second Line	:
City	:	SKOWHEGAN
State	:	ME
Zip	:	04976-2009
Country	:	US
Telephone Number	:	207-431-8325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2011
Last Update Date	:	09/07/2011

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