IndividualActive
Amanda Theriault, LMT
NPI 1861135287 · Massage Therapist · Pownal, ME
Provider details
- NPI number
- 1861135287
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT4301 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
108 Allen Rd
Pownal, ME 04069-6036
Phone: (207) 408-7551
Approximate (ZIP-level) locationGet directions
Mailing address
108 Allen Rd
Pownal, ME 04069-6036
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2022-04-14
- Certified
- 2022-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.