Individual
MARTA KENTSALO LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 W ALLEGHENY RD STE 2, IMPERIAL, PA 15126-9788
(724) 695-5300
Mailing address
366 BACKBONE RD, CLINTON, PA 15026-1228
(412) 596-9070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013529
PA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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