Individual
JOSIE DIANE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
522 N CURTIS AVE, PEA RIDGE, AR 72751-3817
(479) 451-9200
Mailing address
522 N CURTIS AVE, PEA RIDGE, AR 72751-3817
(479) 451-9200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2021010315
MO
225700000X
Massage Therapist
Primary
7729
AR
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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