Individual
GEORGIA SPICER
Active
Individual
GEORGIA SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
OL-11-23216
WY
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
Update your record
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