Individual
CAROL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT, LPTA
Contact information
Practice address
2709 18TH PL S, HOMEWOOD, AL 35209-1950
(205) 910-3495
Mailing address
1849 MAYFLOWER DR, HOOVER, AL 35226-3313
(205) 910-3495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
748
AL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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