Individual
MS. MARY AFTON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
600 A MADISON STREET, HUNTSVILLE, AL 35801
(256) 513-8063
Mailing address
600 A MADISON STREET, HUNTSVILLE, AL 35801
(256) 513-8063
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2877
AL
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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