Individual
TAMI SUE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7053 W CENTRAL AVE, TOLEDO, OH 43617-1114
(419) 843-1370
(419) 843-8402
Mailing address
7053 W CENTRAL AVE, TOLEDO, OH 43617-1114
(419) 843-1370
(419) 843-8402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.010004
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356339857
NPI
OH
01
—
33.010004
LICENSE
OH
Enumeration date
05/30/2007
Last updated
07/08/2007
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