Individual
MR. CHARLES WEST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
318 ERIN DR STE 5, KNOXVILLE, TN 37919-6212
(865) 694-3144
Mailing address
PO BOX 11606, KNOXVILLE, TN 37939-1606
(865) 694-3144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
64
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64
TENNESSEE DEPT OF HEALTH MASSAGE LICENSURE BOARD
TN
Enumeration date
05/12/2014
Last updated
05/12/2014
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