Individual
TEDDY JOE MARTIN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3857 TEAYS VALLEY RD, HURRICANE, WV 25526-0328
(304) 519-9270
(304) 519-9271
Mailing address
2305 JEFFERSON AVE, SAINT ALBANS, WV 25177-3205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2013-3120
WV
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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