Individual
SALLY LUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4 8TH AVE, PARKERSBURG, WV 26101-5964
(304) 917-5168
Mailing address
4 8TH AVE, PARKERSBURG, WV 26101-5964
(304) 917-5168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3009
WV
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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