Organization
WISHING WELL CLINIC & SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA E. FERRALL LMT (OWNER)
(419) 394-1402
Entity
Organization
Contact information
Practice address
153 E, SPRING STREET, ST MARYS, OH 45885
(419) 394-1402
Mailing address
4 E. AUGLAIZE, WAPAKONETA, OH 45895
(419) 394-1402
(419) 394-3597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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