Individual
CAROL S TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
482 EMILY DR, CLARKSBURG, WV 26301-5514
(304) 326-2204
(304) 842-5896
Mailing address
482 EMILY DR, CLARKSBURG, WV 26301-5514
(304) 326-2204
(304) 842-5896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2007-2357
WV
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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