Individual
THOMAS DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4315 EMERSON AVE, PARKERSBURG, WV 26104-1217
(304) 428-8300
Mailing address
PO BOX 492, ELLENBORO, WV 26346-0492
(757) 348-2912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2007-2336
WV
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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