Individual
MRS. CONNIE M ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB, CIMI
Contact information
Practice address
113 SHERRY DR, MCSHERRYSTOWN, PA 17344-1107
(717) 632-7001
Mailing address
113 SHERRY DR, MCSHERRYSTOWN, PA 17344-1107
(717) 632-7001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333657-00
NCBTMB
—
01
—
863016
ABMP
—
01
—
C16477
IAIM REGISTRATION
—
Enumeration date
10/30/2007
Last updated
10/30/2007
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