Individual
DANIELLE WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 WEST MAIN STREET, SUITE B, NEWBURGH, IN 47630
(202) 552-9838
Mailing address
PO BOX 264, EVANSVILLE, IN 47702-0264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21706067
IN
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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