Individual
CASEY MACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14215E CENTREVILLE SQ, CENTREVILLE, VA 20121-2301
(703) 222-3737
(703) 449-9346
Mailing address
14215E CENTREVILLE SQ, CENTREVILLE, VA 20121-2301
(703) 222-3737
(703) 449-9346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010894
VA
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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