Healthcare Provider Details

I. General information

NPI: 1851584114
Provider Name (Legal Business Name): HANNAMARIE GUINN N.C.T.M.B.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 08/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MERCHANTS ROW APT 330
MIDDLEBURY VT
05753-1471
US

IV. Provider business mailing address

PO BOX 92
MIDDLEBURY VT
05753-0092
US

V. Phone/Fax

Practice location:
  • Phone: 802-388-0228
  • Fax:
Mailing address:
  • Phone: 802-388-0228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: