Individual
SUSAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRESIDENT
Contact information
Practice address
118 E 2ND ST, WAVERLY, OH 45690-1361
(740) 977-8329
Mailing address
118 E 2ND ST, WAVERLY, OH 45690-1361
(740) 977-8329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.026356
OH
376J00000X
Homemaker
—
—
Other
Enumeration date
01/11/2023
Last updated
11/19/2024
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