Individual
LONNIE RAY WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
4342 GALLA STREET, SUITE B, NEW BOSTON, OH 45662
(740) 456-8888
(740) 456-8889
Mailing address
4342 GALLA STREET, SUITE B, NEW BOSTON, OH 45662
(740) 456-8888
(740) 456-8889
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019065T-2
OH
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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