Individual
DOUGLAS MARTIN SHODD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2400 NILES CORTLAND RD SE, WARREN, OH 44484-3869
(330) 652-4222
(330) 652-0574
Mailing address
8120 SOUTHERN BLVD APT 1, BOARDMAN, OH 44512-6309
(330) 652-4222
(330) 652-0574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.006135
OH
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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