Individual
MS. MARY L MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BBA, MT, MMP
Contact information
Practice address
2613 E CENTER ST, KINGSPORT, TN 37664-2753
(423) 245-2304
Mailing address
2613 E CENTER ST, KINGSPORT, TN 37664-2753
(423) 245-2304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0000007742
TN
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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