Colby Brooks
Individual provider Active NPI Massage Therapist · Auburn, ME
NPI 1467735696 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1467735696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT4597 (ME)
- Practice address
- 600 Turner St
Auburn, ME 04210-5299 - Phone
- (207) 376-3233
- NPI assigned
- Sep 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MT4597 | ME | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT4597 | ME | Yes |
Addresses
Primary practice location
600 Turner St
Auburn, ME 04210-5299
Mailing address
32 General Turner Hill Rd Apt 1
Turner, ME 04282-3707
Phone (207) 240-2105
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. 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.