Individual
ASHLEY R MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1000 S LINCOLN AVE, LEBANON, PA 17042
(717) 644-3342
Mailing address
1000 S LINCOLN AVE, LEBANON, PA 17042-7165
(717) 270-9798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012533
PA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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