IndividualActive
Andrew O'Connell-Shevenell, LMT
NPI 1043642184 · Massage Therapist · Portland, ME
Provider details
- NPI number
- 1043642184
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT4512 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
222 Saint John St
Suite 208
Portland, ME 04102-3041
Phone: (207) 358-9631
Approximate (ZIP-level) locationGet directions
Mailing address
222 Saint John St
Portland, ME 04102-3041
Registry dates
- Enumerated
- 2013-07-31
- Last updated
- 2013-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.