Organization
MASSAGE CLINIC 7
Active
Organization
MASSAGE CLINIC 7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE F DAVISON LMT (MASSAGE THERAPIST)
(501) 744-5871
Entity
Organization
Contact information
Practice address
8 BEAUREGARD DR, LITTLE ROCK, AR 72206-2722
(501) 744-5871
Mailing address
7101 W 12TH ST STE B, LITTLE ROCK, AR 72204-2404
(501) 744-5871
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
7961
AR
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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