Reid William Salon & Day Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

ES35682 Issued in ME

Legal business name

REID WILLIAM SALON & DAY SPA

Practice address

509 Forest Ave Ste 4
Portland, ME 04101-1521

Phone

(207) 772-1772

Fax

(207) 772-1744

NPI assigned

Jun 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Theriault

Title

President

Phone

(207) 772-1772

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245433309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FOREST AVE STE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011521",
            "telephone_number": "207-772-1772",
            "fax_number": "207-772-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FOREST AVE STE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011521",
            "telephone_number": "207-772-1772",
            "fax_number": "207-772-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID WILLIAM SALON & DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THERIAULT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-772-1772"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "ES35682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.