Individual
AIDEN IFRIT CARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1712 1/2 10TH ST E, TUSCALOOSA, AL 35404-2904
(205) 454-6848
Mailing address
1712 1/2 10TH ST E, TUSCALOOSA, AL 35404-2904
(205) 454-6848
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4639
AL
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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