Healthcare Provider Details

I. General information

NPI: 1245134303
Provider Name (Legal Business Name): AMY A PITMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3447 US ROUTE 3
THORNTON NH
03285-6189
US

IV. Provider business mailing address

3447 US ROUTE 3
THORNTON NH
03285-6189
US

V. Phone/Fax

Practice location:
  • Phone: 603-254-4077
  • Fax:
Mailing address:
  • Phone: 603-254-4077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA109173
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number1707
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: