Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Crockett, LMT

Individual provider Contractor · NPI 1407682446

Alyssa Crockett, LMT is a Contractor in South Portland, Maine. Licensed in Maine. Registered with an NPI since 2024.

Licensed in
ME
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

118 Maine Mall Rd
South Portland, ME 04106-2309
Phone: (207) 772-1031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence MT6607 (ME)

Record details

NPI number1407682446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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