Individual
MR. DARRYL WAYNE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NRTP
Contact information
Practice address
2441 JAMES ST STE 5C, CORALVILLE, IA 52241-1286
(319) 621-8184
Mailing address
725 TIMBER RIDGE CT, TIFFIN, IA 52340-4716
(319) 621-8184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
079084
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079084
LICENSED MASSAGE THERAPIST
IA
Enumeration date
06/08/2018
Last updated
06/08/2018
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