Individual
SUSAN GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1108 FOREST ST STE 3B, CHARLOTTESVILLE, VA 22903-5260
(434) 260-3589
Mailing address
1108 FOREST ST STE 3B, CHARLOTTESVILLE, VA 22903-5260
(434) 260-3589
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016072
VA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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