Organization
DEFIANCE THERAPEUTIC MASSAGE & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE RADZIK ATC, LMT (OWNER/ DIRECTOR)
(419) 497-2112
Entity
Organization
Contact information
Practice address
8081 ADAMS RIDGE RD, DEFIANCE, OH 43512-9173
(419) 497-2112
(419) 497-2114
Mailing address
8081 ADAMS RIDGE RD, DEFIANCE, OH 43512
(419) 497-2112
(419) 497-2114
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
65.000157
OH
174400000X
Specialist
Primary
33.014099
OH
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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