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KEVIN PENNELL L.M.T.
NPI 1386064848
Massage Therapist in Portland, ME

Active since April 23, 2014
55 WARREN AVE, PORTLAND, ME 04103(207) 577-1010 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Pennell L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PENNELL L.M.T. (NPI 1386064848) is an individual massage therapist in Portland, Maine, licensed in Maine (MT4495) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1386064848
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKEVIN PENNELLCredential: L.M.T.
Location Address55 WARREN AVEPortland, ME 04103-1103
Mailing Address95 Boothby AveSouth Portland, ME 04106-4628 · (207) 577-1010
Phone(207) 577-1010
Sole ProprietorYes
Enumeration DateApril 23, 2014
✔ NPI 1386064848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in ME · MT4495
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
55 WARREN AVE, Portland, ME 04103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Pennell's NPI number?

The NPI number for Kevin Pennell is 1386064848. It was assigned to this individual provider in the NPPES registry on April 23, 2014.

Where is Kevin Pennell located?

Kevin Pennell practices at 55 Warren Ave, Portland, ME 04103. The listed phone number is (207) 577-1010.

What is Kevin Pennell's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kevin Pennell was last updated on April 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.