Provider Demographics
NPI:1588908040
Name:GRIFFITH-WHELAN, MAUREEN E (BA, LMT, NCBTMB)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:E
Last Name:GRIFFITH-WHELAN
Suffix:
Gender:F
Credentials:BA, LMT, NCBTMB
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Mailing Address - Street 1:215 MARCUS ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3219
Mailing Address - Country:US
Mailing Address - Phone:781-308-4345
Mailing Address - Fax:406-375-5188
Practice Address - Street 1:215 MARCUS ST
Practice Address - Street 2:SUITE 210
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3219
Practice Address - Country:US
Practice Address - Phone:781-308-4345
Practice Address - Fax:406-375-5188
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2016-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT4242225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist