Individual
EMILY ELAINE SANDVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
424 MAIN ST, MAPLETON, IA 51034-1213
(712) 592-2778
Mailing address
424 MAIN ST, MAPLETON, IA 51034-1213
(712) 592-2778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004917
IA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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