IndividualActive
Amy Staples
NPI 1407040314 · Massage Therapist · South Portland, ME
Provider details
- NPI number
- 1407040314
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT2058 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
597 Main St
South Portland, ME 04106
Phone: (207) 767-1700
Approximate (ZIP-level) locationGet directions
Mailing address
597 Main St
South Portland, ME 04106
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.