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Organization

LIVING WELL MASSAGE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUNA WILSON (OWNER)
(304) 412-2165
Entity
Organization

Contact information

Practice address
5505 US ROUTE 60, SUITE 100, HUNTINGTON, WV 25705-2070
(304) 412-2165
(304) 529-9237
Mailing address
5505 US ROUTE 60, SUITE 100, HUNTINGTON, WV 25705-2070
(304) 412-2165
(304) 529-9237

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1998-0144
WV

Other

Enumeration date
10/04/2013
Last updated
10/04/2013
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