Individual
DOUGLAS JAMES PRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT/PTA
Contact information
Practice address
4488 W BROAD ST STE 100, COLUMBUS, OH 43228-5610
(614) 851-4442
Mailing address
4488 W BROAD ST STE 100, COLUMBUS, OH 43228-5610
(614) 851-4442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11169-N-R
OH
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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