Individual
MS. LAURA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 344-3788
(570) 614-0212
Mailing address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 344-3788
(570) 614-0212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011106
PA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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