Individual
MISS AMY E EDGINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9354 KEPHART RD, SPENCERVILLE, OH 45887-9779
(419) 302-1571
Mailing address
9354 KEPHART RD, SPENCERVILLE, OH 45887-9779
(419) 302-1571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.018862-E-G
OH
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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