Kathryn Timm Sherman, LMT
Individual provider Active NPI Massage Therapist · Waldoboro, ME
NPI 1063671097 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1063671097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT1666 (ME)
- Practice address
- 290 Bremen Rd
Waldoboro, ME 04572 - Phone
- (207) 832-6347
- Fax
- (207) 832-4664
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1666 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldoboro Chiropractic Center PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT1666 | ME | Yes |
Addresses
Primary practice location
290 Bremen Rd
Waldoboro, ME 04572
Mailing address
PO Box 625
Waldoboro, ME 04572-0625
Phone (207) 832-6347
Other providers in Waldoboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.