Individual
MS. SUSAN DIANE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5810 SOUTHWYCK BLVD STE 100E, TOLEDO, OH 43614-1514
(419) 340-2704
Mailing address
PO BOX 2578, WHITEHOUSE, OH 43571-0578
(419) 340-2704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.015285
OH
Other
Enumeration date
02/17/2020
Last updated
03/05/2020
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