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NPI Code Detail

MEDICARE: RYAN TAPIA LMT

MEDICARE: RYAN TAPIA 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
1225700000XMassage TherapistMT3968ME

General Provider Information

NPI Number : 1881821262
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN TAPIA LMT
Provider Business Mailing Address
First Line : 116 FREE ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3925
Country : US
Telephone Number : 207-773-8393
Fax Number :
Provider Business Practice Location Address
First Line : 116 FREE ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3925
Country : US
Telephone Number : 207-773-8393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2009
Last Update Date : 06/12/2009

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Directions to “ RYAN TAPIA LMT” Practice Location

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