Individual
ASHLEY DETORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 S CENTER AVE STE 5, NEW STANTON, PA 15672-9807
(724) 635-0267
Mailing address
111 S CENTER AVE STE 5, NEW STANTON, PA 15672-9807
(724) 635-0267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007995
PA
Other
Enumeration date
02/26/2020
Last updated
02/29/2020
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