Provider Demographics
NPI:1811186554
Name:DRUMMEY, JONATHAN (LMT, RHT, NCTMB)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:DRUMMEY
Suffix:
Gender:M
Credentials:LMT, RHT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JAMES ST.
Mailing Address - Street 2:TRUST YOUR BODY
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-2912
Mailing Address - Country:US
Mailing Address - Phone:207-831-9657
Mailing Address - Fax:
Practice Address - Street 1:209 MAIN ST
Practice Address - Street 2:SACO HEALING ARTS CENTER, SUITE 301
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1566
Practice Address - Country:US
Practice Address - Phone:207-831-9657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME 341385225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist