Organization
IDA OSBORNE
Active
Other names
Athens Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
IDA OSBORNE LMT (OWNER)
(740) 594-8796
Entity
Organization
Contact information
Practice address
542 W UNION ST, SUITE 10, ATHENS, OH 45701-2331
(740) 594-8796
(740) 594-8796
Mailing address
542 W UNION ST, SUITE 10, ATHENS, OH 45701-2331
(740) 594-8796
(740) 594-8796
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4782
OH
Other
Enumeration date
08/03/2006
Last updated
06/11/2008
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