Individual
TRISTA S HEWITT-LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3039
WV
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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