Organization
ALLEN'S MEDICAL MASSAGE
Active
Organization
ALLEN'S MEDICAL MASSAGE
Active
Other names
LaWanda S. Allen
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAWANDA SHAUNTE ALLEN LMT, MMP (MEDICAL MASSAGE PRACTITIONER)
(901) 335-6662
Entity
Organization
Contact information
Practice address
3852 GRACELAND DR, MEMPHIS, TN 38116-5247
(901) 335-6662
Mailing address
3852 GRACELAND DR, MEMPHIS, TN 38116-5247
(901) 335-6662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000004525
TN
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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