Individual
BETHANY JOY HARNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288
Mailing address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3753875
MASSAGE THERAPY
—
Enumeration date
08/06/2019
Last updated
08/06/2019
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