Individual
MS. VANESSA ANN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1018 6TH AVE, 2ND FLOOR, HUNTINGTON, WV 25701-2308
(304) 522-1155
(304) 522-1160
Mailing address
7321 SKYLINE DR, CATLETTSBURG, KY 41129-8415
(606) 831-8103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-2071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KY-2071
—
KY
Enumeration date
08/23/2010
Last updated
09/14/2010
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