Anna Marie Burdette, LMT
Individual provider Active NPI Massage Therapist · South Gardiner, ME
NPI 1912282500 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1912282500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT5500 (ME)
- Practice address
- 10 Union St # 122
South Gardiner, ME 04359-3015 - Phone
- (207) 542-4926
- NPI assigned
- Oct 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| MT5500 | ME | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petett Chiropractic Clinic, Inc. | Single Specialty | Past | Accepting new patients |
| Chiro One Wellness Center of Renton PLLC | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MT5500 | ME | Yes |
Addresses
Primary practice location
10 Union St # 122
South Gardiner, ME 04359-3015
Mailing address
10 Union St # 122
South Gardiner, ME 04359-3015
Phone (207) 542-4926
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.amtamembers.com/dragonflyrose.edit | Direct |
Other providers in South Gardiner, ME
All providers in South Gardiner, ME · Massage Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. 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.