Individual
WENDY RAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3819 BROADWAY STE D, GROVE CITY, OH 43123-2266
(740) 837-8629
Mailing address
3819 BROADWAY STE D, GROVE CITY, OH 43123-2266
(740) 837-8629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.021202
OH
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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