NEW MOON BODYWORK AND WELLNESS (NPI# 1417406653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417406653 |
| Entity Type | Organization |
| Organization Name | NEW MOON BODYWORK AND WELLNESS |
| Practice Address |
16 Elmwood Ave Westbrook ME 04092-3717 |
| Mailing Address |
55 Lambert St Apt 13 Portland ME 04103-2130 |
| Practice Telephone | 2076028583 |
| Mailing Telephone | 2076028583 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | MRS. CATHERINE MARIE DOUGHERTY (SOLE PROPRIETOR/MASSAGE THERAPIST) |
| Authorized Official Telephone | 2076028583 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT4268 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16 ELMWOOD AVE |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427424 | Catherine Marie Dougherty | Massage Therapist | 16 Elmwood Ave, Westbrook, ME 04092-3717 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1801024633 | Priscilla Urban | Massage Therapist | 547 Bridge St, Westbrook, ME 04092-3105 | 2009-07-01 |
| 1992992598 | Jane Elizabeth Hoover | Massage Therapist | 598 Bridge St, Westbrook, ME 04092-3103 | 2007-09-27 |
| 1790986123 | Kaihlil Nigro | Massage Therapist | 865 Spring St, Westbrook, ME 04092-3828 | 2007-05-31 |
| 1619599552 | April Morrell | Massage Therapist | 426 Bridge St, Westbrook, ME 04092-3189 | 2020-05-14 |
| 1013548304 | Integrative Body Network | Massage Therapist | 406 Bridgton Rd, Westbrook, ME 04092-3722 | 2020-01-27 |
| 1518502780 | Gale Kurtz | Massage Therapist | 406 Bridgton Rd, Westbrook, ME 04092-3722 | 2019-11-12 |
| 1154820587 | Jillian Smith | Massage Therapist | 820 Main St, Westbrook, ME 04092-3430 | 2018-02-12 |
| 1639607260 | Lindsay L Molina | Massage Therapist | 17 Ash St, Westbrook, ME 04092-3452 | 2017-05-26 |
| 1821530080 | Whitney Bean | Massage Therapist | 39 Mechanic St, Westbrook, ME 04092-2855 | 2016-11-04 |
| Find all providers in WESTBROOK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.