Individual
KATHERINE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 ARDMORE ST, 101, BLACKSBURG, VA 24060
(540) 230-7852
Mailing address
1414 LOCUST AVE, BLACKSBURG, VA 24060-5629
(540) 230-7852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016462
VA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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