Individual
NORMA A SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT, BCTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019005686
VA
225700000X
Massage Therapist
Primary
4576
SC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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