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NPI Code Detail

MEDICARE: ERIKA MANNING LMT

MEDICARE: ERIKA MANNING 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
1225700000XMassage TherapistMT879ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MT879OTHERMASSAGE THERAPIST

General Provider Information

NPI Number : 1588116495
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA MANNING LMT
Provider Business Mailing Address
First Line : 7 LIMEROCK ST
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-2928
Country : US
Telephone Number : 207-594-2122
Fax Number :
Provider Business Practice Location Address
First Line : 7 LIMEROCK ST
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-2928
Country : US
Telephone Number : 207-594-2122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2016
Last Update Date : 10/26/2016

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Directions to “ ERIKA MANNING LMT” Practice Location

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