Individual
TINA MARIE CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
343 WYCOMBE DR, DOVER, DE 19904-3860
(302) 598-4478
Mailing address
343 WYCOMBE DR, DOVER, DE 19904-3860
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000
DELAWARE
DE
05
—
00000000000000000
—
DE
Enumeration date
09/01/2020
Last updated
09/01/2020
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