Individual
MRS. MORGAN JANETTE THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1860 WILMA RUDOLPH BLVD # 114, CLARKSVILLE, TN 37040-6750
(931) 922-2215
Mailing address
2802 PAM DR, CLARKSVILLE, TN 37043-6238
(931) 922-2215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11169
TN
Other
Enumeration date
04/15/2019
Last updated
06/16/2020
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