Individual
JUSTIN RANDALL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
105 N MAIN ST, BELLEFONTAINE, OH 43311-2020
(937) 407-6293
Mailing address
105 N MAIN ST, BELLEFONTAINE, OH 43311-2020
(937) 407-6293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17291
OH
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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