Individual
BUFORD MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1066 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3300
(513) 464-7103
Mailing address
1066 N UNIVERSITY BLVD, MIDDLETOWN, OH 45042-3300
(513) 464-7103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11128
OH
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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