Individual
ALEXANDRIA SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7338 PALGRAVE LN, MEMPHIS, TN 38125-2143
(901) 930-6306
Mailing address
7338 PALGRAVE LN, MEMPHIS, TN 38125-2143
(901) 930-6306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12678
TN
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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