Organization
THE MASSAGE SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STEPHENSON (OWNER)
(304) 431-3535
Entity
Organization
Contact information
Practice address
2751 OLD BLUEFIELD RD, PRINCETON, WV 24739-9019
(304) 431-3535
Mailing address
2751 OLD BLUEFIELD RD, PRINCETON, WV 24739-9019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20062147
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006-2147
STATE LICENSE
WV
Enumeration date
09/29/2014
Last updated
09/29/2014
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