Individual
MS. WENDY RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2488 DAVID RAINES RD APT 301, SHREVEPORT, LA 71107-4120
(318) 820-3528
Mailing address
2488 DAVID RAINES RD APT 301, SHREVEPORT, LA 71107-4120
(318) 820-3528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4814
LA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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