Individual
GINGER PAIGE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., L.M.T., M.M.P.
Contact information
Practice address
140 CAGLESVILLE LN, RUSSELLVILLE, AR 72802-1202
(501) 652-0393
Mailing address
140 CAGLESVILLE LN, RUSSELLVILLE, AR 72802-1202
(501) 652-0393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2905
AR
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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