Individual
COLLEEN EIDEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1928 DONN DAVIS WAY, TIPP CITY, OH 45371-7313
(937) 266-9756
Mailing address
1928 DONN DAVIS WAY, TIPP CITY, OH 45371-7313
(937) 266-9756
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.018352
OH
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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