MEDICARE: MRS. MARNIE ELIZABETH ALLEN MPT

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	225100000X	Physical Therapist	PT3045	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225134646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARNIE ELIZABETH ALLEN MPT

Provider Business Mailing Address
First Line	:	149 SILVER ST
Second Line	:
City	:	WATERVILLE
State	:	ME
Zip	:	04901-5813
Country	:	US
Telephone Number	:	207-873-4638
Fax Number	:	207-873-1541

Provider Business Practice Location Address
First Line	:	149 SILVER ST
Second Line	:
City	:	WATERVILLE
State	:	ME
Zip	:	04901-5813
Country	:	US
Telephone Number	:	207-873-4638
Fax Number	:	207-873-1541

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	10/20/2022

Similar Medicare Providers

1073517819 — MR. CHARLES E DANIELSON M.D.
Practice Location Address:

159 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-5437
Practice Fax: 207-861-5448

1104820943 — MICHAEL P HOFMANN M.D.
Practice Location Address:

159 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-5437
Practice Fax: 207-872-6037

1861496606 — LESLIE D DOOLITTLE M.D.
Practice Location Address:

159 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-5437
Practice Fax: 207-861-5448

1881683431 — BOUCHARD PHYSICAL THERAPY SERVICES INC
Practice Location Address:

149 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-4638
Practice Fax: 207-873-1541

1417058504 — GARY C. FERGUSON DMD, MS
Practice Location Address:

151 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-1311
Practice Fax: 207-873-4547

1699852715 — AMELIA BROCHU P.A.-C.
Practice Location Address:

159 SILVER ST
WATERVILLE, ME
04901-5813

Practice Phone: 207-873-5437
Practice Fax: 207-872-6037

Directions to “ MRS. MARNIE ELIZABETH ALLEN MPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.