Individual
CHERYL GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
155 PARK AVE, CRANSTON, RI 02905-2627
(401) 480-1934
Mailing address
155 PARK AVE, CRANSTON, RI 02905-2627
(401) 480-1934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT00512
RI
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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