Daniel Fonseca
Massage Therapist in Auburn, ME. Individual provider (NPI-1).
NPI number1710856430
StatusActive
Last updated in NPPESOct 31, 2025
Details
- NPI
- 1710856430
- Entity type
- Individual (NPI-1)
- Name
- Daniel Fonseca
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2025
- Certification date
- Oct 31, 2025
- Last updated
- Oct 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT6780 | ME | Yes |
Practice location
1273 Old Danville RdAuburn, ME 04210-8116
Phone 207-550-5511
Mailing address
1273 Old Danville RdAuburn, ME 04210-8116
Phone 207-550-5511
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