Individual
MR. DENNIS L MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT.
Contact information
Practice address
802 E 10TH ST, SUITE A, COOKEVILLE, TN 38501-1911
(931) 261-3519
Mailing address
PO BOX 201, BAXTER, TN 38544-0201
(931) 858-0507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8180
TN
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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