Individual
MRS. EDITH ANNELIESE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCLMT
Contact information
Practice address
164 WOODCREST DR, WINCHESTER, TN 37398-2349
(931) 636-0885
(931) 967-9050
Mailing address
164 WOODCREST DR, WINCHESTER, TN 37398-2349
(931) 636-0885
(931) 967-9050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4767
TN
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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