Elizabeth Blanchard, LMT, PTA

Individual provider Active NPI Mechanotherapist · York, ME

NPI 1891482691 · NPPES record last updated Apr 20, 2023

Key facts

NPI
1891482691
Entity type
Individual (NPI type 1)
Primary specialty
Mechanotherapist 172M00000X
License
MT1193 (ME)
Practice address
449 US Route 1 Ste 201
York, ME 03909-1644
Phone
(207) 200-3986
NPI assigned
Apr 20, 2023
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

LicenseStateTypeSpecialty
MT1193MEMDMechanotherapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT1193 ME Yes

Addresses

Primary practice location

449 US Route 1 Ste 201
York, ME 03909-1644

Mailing address

449 US Route 1 Ste 201
York, ME 03909-1644
Phone (207) 200-3986

Other providers in York, ME

All providers in York, ME · Mechanotherapist in Maine

Sources for this page

Verify at the official NPI Registry.