Individual
AUTUMN ROSE HASTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 INDEPENDENCE DR, NAPOLEON, OH 43545-9194
(419) 592-7966
(419) 599-0635
Mailing address
10906 COUNTY ROAD H, HAMLER, OH 43524-9766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023810
OH
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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