Individual
BONNIE MCCORMICK GLUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NHA, LMT, CLT
Contact information
Practice address
47 VAUGHNS GAP RD, NASHVILLE, TN 37205-4318
(615) 294-7866
Mailing address
47 VAUGHNS GAP RD, NASHVILLE, TN 37205-4318
(615) 294-7866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000009908
TN
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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