Provider Demographics
NPI:1487818191
Name:DEVLIN, LOUISE YVETTE (LMT)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:YVETTE
Last Name:DEVLIN
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 1282
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04211-1282
Mailing Address - Country:US
Mailing Address - Phone:207-783-8106
Mailing Address - Fax:207-783-8106
Practice Address - Street 1:475 PLEASANT ST
Practice Address - Street 2:UNIT 14
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:207-783-8106
Practice Address - Fax:207-783-8106
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT3609225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist