Individual
MS. EMILY SUSANNE NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1005 N CHARLOTTE ST, DICKSON, TN 37055-1012
(615) 430-5718
Mailing address
1005 N CHARLOTTE ATREET, DICKSON, TN 37055
(615) 430-5718
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10938
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10938
TN MASSAGE LICENSE
TN
Enumeration date
07/21/2021
Last updated
07/21/2021
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