Individual
MR. DOUGLAS JOHN HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCMT
Contact information
Practice address
170 HERITAGE RUN RD, INDIANA, PA 15701
(724) 463-8019
Mailing address
1672 PHILADELPHIA ST, # 2, INDIANA, PA 15701-4044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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