Katherine Gonneville
Individual provider Active NPI Massage Therapist · Farmingdale, ME
NPI 1992596068 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1992596068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT7251 (ME)
- Practice address
- 15 Hasson St
Farmingdale, ME 04344-1613 - Phone
- (207) 446-4664
- NPI assigned
- May 16, 2025
- 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 |
|---|---|---|---|
| MT7251 | ME | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT7251 | ME | Yes |
Addresses
Primary practice location
15 Hasson St
Farmingdale, ME 04344-1613
Mailing address
195 Hunts Meadow Rd
Pittston, ME 04345-5941
Phone (207) 446-4664
Other providers in Farmingdale, ME
- Donald Joseph Gagnon
- Shanna Leigh Gagnon
- Jill Annette Galen
- Ida M. Gammon-Wilson
- Get Up and Grow Therapy, LLC
- Ann Griffin Carey
- Donna Hall
- Jennifer Leigh Hall
- Sharon Clough Hamlin
- James Herbert Hammond
All providers in Farmingdale, 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 May 16, 2025. 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.