Individual
TINA C ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
9502 MAIN ST, ZACHARY, LA 70791-7439
(225) 654-3303
Mailing address
9502 MAIN ST, ZACHARY, LA 70791-7439
(225) 654-3303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2551
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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