Provider Demographics
NPI:1851952584
Name:SCHOFF, ADAM (LMT)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:SCHOFF
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CUSHING ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1800
Mailing Address - Country:US
Mailing Address - Phone:207-274-1281
Mailing Address - Fax:
Practice Address - Street 1:15 MAIN ST STE 13
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-1164
Practice Address - Country:US
Practice Address - Phone:207-869-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT5214225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist