Individual
AUSTIN ELLIS MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
201 KEITH ST SW STE 56, CLEVELAND, TN 37311-5867
(423) 559-0380
Mailing address
201 KEITH ST SW STE 56, CLEVELAND, TN 37311-5867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13598
TN
Other
Enumeration date
03/30/2021
Last updated
04/01/2021
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