Provider Demographics
NPI:1861263873
Name:MAINELY PELVIC PHYSICAL THERAPY
Entity type:Organization
Organization Name:MAINELY PELVIC PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CADIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUCIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:207-949-0290
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-0015
Mailing Address - Country:US
Mailing Address - Phone:207-949-0290
Mailing Address - Fax:
Practice Address - Street 1:97 BEECHLAND RD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-2540
Practice Address - Country:US
Practice Address - Phone:207-949-0290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy