Active NPI
Kevin Morneault
- Massage Therapist
- Bangor, ME
National Provider Identifier
1942175153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT7370
- Practice address
- 122 Pine Street
Bangor, ME 04401-3936 - Phone
- (207) 478-1701
- NPI assigned
- Oct 7, 2025
- Last updated
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT7370 | ME | Primary |
Addresses
Primary practice location
122 Pine Street
Bangor, ME 04401-3936
Mailing address
412 Essex St
Bangor, ME 04401-3936
Phone (207) 478-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT7370 | ME | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1942175153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 ESSEX ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013936",
"telephone_number": "207-478-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 PINE STREET",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013936",
"telephone_number": "207-478-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORNEAULT",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ME",
"license": "MT7370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.