Individual
MR. DWIGHT L NIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
337 4TH AVE, HUNTINGTON, WV 25701-1223
(304) 523-0000
(304) 523-2422
Mailing address
337 4TH AVE, HUNTINGTON, WV 25701-1223
(304) 523-0000
(304) 523-2422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0620
WV
Other
Enumeration date
05/08/2007
Last updated
10/21/2008
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