Individual
MRS. GINGER FAYE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1361 CREEK RD, PIERPONT, OH 44082-9457
(440) 577-9768
Mailing address
1361 CREEK RD, PIERPONT, OH 44082-9457
(440) 577-9768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33. 016505
OH
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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