Individual
TERRIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
72 MAIN ST, SIUTE 201, VERGENNES, VT 05491-1155
(802) 877-6362
Mailing address
72 MAIN ST, SIUTE 201, VERGENNES, VT 05491-1155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT029916
TX
Other
Enumeration date
06/13/2009
Last updated
06/13/2009
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