Individual
DANYELLE SPEAKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19 W SOUTH ST, SUITE B, JACKSON, OH 45640-1502
(740) 418-8838
Mailing address
PO BOX 1042, JACKSON, OH 45640-7042
(740) 418-8838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-016867
OH
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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