Organization
THETA MASSAGE AND BODYWORK LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DAYLE JORDAN LMBT (CO-OWNER)
(336) 575-6124
Entity
Organization
Contact information
Practice address
255 FLYNN AVE, BURLINGTON, VT 05401-5303
(336) 575-6124
Mailing address
255 FLYNN AVE, BURLINGTON, VT 05401-5303
(336) 575-6124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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