Individual
TINA STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CLT
Contact information
Practice address
12 MEDITATION LN, LANCASTER, MA 01523-2741
(978) 413-6743
Mailing address
12 MEDITATION LN, LANCASTER, MA 01523-2741
(978) 413-6743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8991
MA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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