Individual
KRISTEN RENEE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
436 CENTRAL AVE, OAK HILL, WV 25901-3009
(304) 465-3654
Mailing address
436 CENTRAL AVE, OAK HILL, WV 25901-3009
(304) 465-3654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2010-2677
WV
Other
Enumeration date
06/24/2013
Last updated
07/01/2013
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