Individual
MATTHEW JOSEPH DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., B.S.
Contact information
Practice address
2618 FAIRMONT AVE, SUITE A, FAIRMONT, WV 26554-3418
(304) 368-9373
Mailing address
2618 FAIRMONT AVE, SUITE A, FAIRMONT, WV 26554-3418
(304) 368-9373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19980191
WV
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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