Individual
DANIELLE ALLISON SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 ANDERSON HWY, POWHATAN, VA 23139
(804) 598-2700
Mailing address
204 N MAIN ST, BLACKSTONE, VA 23824-1426
(540) 421-5469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018300
VA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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