Individual
CEAN WHITMARSH
Active
Individual
CEAN WHITMARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
130033
AK
225700000X
Massage Therapist
MT.0015832
CO
225700000X
Massage Therapist
MT123921
TX
Other
Enumeration date
09/12/2016
Last updated
04/10/2020
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