Individual
ROBIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3534 TEAYS VALLEY RD, HURRICANE, WV 25526-9054
(304) 840-5376
Mailing address
277 TRACE CREEK RD, HURRICANE, WV 25526-6416
(304) 840-5376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2004-1482
WV
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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