Individual
SAMANTHA JO CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 6TH AVE, HUNTINGTON, WV 25701-2308
(304) 522-1155
(304) 522-1160
Mailing address
1018 6TH AVE, HUNTINGTON, WV 25701-2308
(304) 522-1155
(304) 522-1160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3034
WV
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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