Individual
MALLORY PUTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
915 MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 498-2311
Mailing address
11594 CONOVER RD, VERSAILLES, OH 45380-8423
(937) 564-7424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.020483
OH
Other
Enumeration date
01/11/2025
Last updated
01/16/2025
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