Individual
MR. WAYNE THOMAS TUTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
620 CENTRAL AVE, 2A, HOT SPRINGS, AR 71901-5300
(501) 762-4748
Mailing address
2391 EDGEWOOD DR, BISMARCK, AR 71929-7288
(501) 762-4748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7364
AR
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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