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Organization

BODY MOVEMENT ENERGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONETTA BOOTH WATSON LMT (WV LICENSED MASSAGE THERAPIST)
(304) 203-3779
Entity
Organization

Contact information

Practice address
111 S 4TH ST, CLARKSBURG, WV 26301-2801
(304) 566-4438
Mailing address
111 S 4TH ST, CLARKSBURG, WV 26301-2801

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20112912
WV

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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