Individual
BETTY ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 W POPLAR DR, LOUISVILLE, MS 39339-9709
(662) 773-9567
Mailing address
102 W POPLAR DR, LOUISVILLE, MS 39339-9709
(662) 773-9567
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
853
MS
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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