MEDICARE: MR. JOSHUA MICHAEL DURNEY 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	225700000X	Massage Therapist	MT7945	ME

General Provider Information

NPI Number	:	1104798222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA MICHAEL DURNEY LMT

Provider Business Mailing Address
First Line	:	63 PLEASANT ST APT 2
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2256
Country	:	US
Telephone Number	:	917-741-3802
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 CUMBERLAND ST STE 2
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-1952
Country	:	US
Telephone Number	:	917-741-3802
Fax Number	:

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

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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