Individual
ADELE THAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, BCTMB LMT
Contact information
Practice address
4446 SUMMIT BRIDGE RD UNIT 2, MIDDLETOWN, DE 19709-9399
(302) 897-9822
Mailing address
PO BOX 703, MIDDLETOWN, DE 19709-0703
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0004854
DE
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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