Provider Demographics
NPI:1588088991
Name:DAIL, NANCY (LMT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DAIL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:WALDOBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04572-0024
Mailing Address - Country:US
Mailing Address - Phone:207-832-5531
Mailing Address - Fax:207-832-0504
Practice Address - Street 1:99 MOOSE MEADOW LN
Practice Address - Street 2:
Practice Address - City:WALDOBORO
Practice Address - State:ME
Practice Address - Zip Code:04572-0024
Practice Address - Country:US
Practice Address - Phone:207-832-5531
Practice Address - Fax:207-832-0504
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT18225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist