Individual
KATHY ANN JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109C JEFFERSON RD, SOUTH CHARLESTON, WV 25309-9780
(304) 744-2622
Mailing address
1109C JEFFERSON RD, SOUTH CHARLESTON, WV 25309-9780
(304) 744-2622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001-0774
WV
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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