Lisa D Fenter, LMT
Individual provider Active NPI Massage Therapist · Lewiston, ME
NPI 1861686578 · NPPES record last updated Mar 16, 2013
Key facts
- NPI
- 1861686578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT3531 (ME)
- Practice address
- 625 Main St
Lewiston, ME 04240-5938 - Phone
- (207) 376-7678
- NPI assigned
- Sep 5, 2007
- 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 |
|---|---|---|---|
| MT3531 | ME | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT3531 | ME | Yes |
Addresses
Primary practice location
625 Main St
Lewiston, ME 04240-5938
Mailing address
2696 Hotel Rd
Auburn, ME 04210-8800
Phone (207) 376-7678
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2013. 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.