MEDICARE: HEALTHY SOLUTIONS INC.

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	PT1806	ME

General Provider Information

NPI Number	:	1558446484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	71 PINELAND DRIVE, LISBON HALL
Second Line	:	SUITE 101
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260
Country	:	US
Telephone Number	:	207-688-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	71 PINELAND DRIVE
Second Line	:	SUITE 101
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260
Country	:	US
Telephone Number	:	207-688-8600
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. LAWRNECE ANDREW LARSON
Credential	:	P.T.
Telephone Number	:	207-688-8600

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/22/2020

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Directions to “HEALTHY SOLUTIONS INC. ” Practice Location

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