Individual
NATALYA KUSMIY-SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
593 S MCDONALD RD SW, MC DONALD, TN 37353-5412
(423) 645-1345
Mailing address
593 SOUTH MCDONALD RD SW, MC DONALD, TN 37353-5412
(866) 427-8427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000012630
TN
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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