Individual
DEANNA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
600 RUGH ST REAR, GREENSBURG, PA 15601-5630
(724) 837-7880
Mailing address
1463 SR 981, DERRY, PA 15627
(724) 858-5812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011074
PA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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