Individual
ASHLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
479 NEW HOPE RD, PRINCETON, WV 24740-8933
(304) 646-3174
Mailing address
479 NEW HOPE RD, PRINCETON, WV 24740-8933
(304) 646-3174
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2005-1806
WV
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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