Individual
DONALD JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA LMT
Contact information
Practice address
7891 STATE ROUTE 609, ORANGEVILLE, OH 44453-0105
(330) 246-0574
Mailing address
PO BOX 105, ORANGEVILLE, OH 44453-0105
(330) 246-0574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.008718
OH
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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