Individual
SUSANNA PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5119 VICTORIA CV, BRENTWOOD, TN 37027-6806
(615) 661-5685
Mailing address
1806 WILLIAMSON CT, SUITE 110, BRENTWOOD, TN 37027-7974
(615) 957-3075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000000030
TN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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