Individual
MRS. MIRANDA PENELOPE HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
(307) 358-4663
Mailing address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
(307) 358-4663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
10/09/2008
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