Individual
GENELL DIANE BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
528 N WILLOW AVE, COOKEVILLE, TN 38501-1759
(931) 267-3308
Mailing address
177 AJ HUTSON RD, SPARTA, TN 38583-5100
(931) 267-3308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0000004880
TN
Other
Enumeration date
03/08/2008
Last updated
10/29/2009
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