Individual
DEBORAH LYNN MOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS/CMS
Contact information
Practice address
3060 DAYTON XENIA RD STE C, BEAVERCREEK, OH 45434-6393
(937) 427-2225
Mailing address
3060 DAYTON XENIA RD STE C, BEAVERCREEK, OH 45434-6393
(937) 427-2225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
225700000X
Massage Therapist
Primary
33.018523
OH
Other
Enumeration date
09/09/2019
Last updated
12/07/2021
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