Individual
BETHANY CHEYANNE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1307 MERCER ST, PRINCETON, WV 24740-3033
(304) 960-1408
Mailing address
811 HARRISON ST, PRINCETON, WV 24740-3008
(304) 960-1408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2025-4227
WV
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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