Individual
NANCY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
11608
OR
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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