Brandi Nelson, LMT
Individual provider Active NPI Massage Therapist · Readfield, ME
NPI 1477904159 · NPPES record last updated Jun 24, 2016
Key facts
- NPI
- 1477904159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT4673 (ME)
- Practice address
- 1061 Main St
Readfield, ME 04355-3510 - Phone
- (207) 213-5316
- NPI assigned
- Jun 24, 2016
- Sex
- Female
- 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 |
|---|---|---|---|
| MT4673 | ME | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT4673 | ME | Yes |
Addresses
Primary practice location
1061 Main St
Readfield, ME 04355-3510
Mailing address
1061 Main St
Readfield, ME 04355-3510
Phone (207) 213-5316
Other providers in Readfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2016. 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.