Individual
KENNA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 WASHINGTON BLVD, BELPRE, OH 45714-2028
(740) 780-4040
Mailing address
213 SUZANNE ST, WASHINGTON, WV 26181-3541
(304) 699-2121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015-3352
WV
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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