Individual
MRS. KATHERINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9481 DAVID SMITH LN, OOLTEWAH, TN 37363-7293
(423) 314-3005
Mailing address
PO BOX 96, OOLTEWAH, TN 37363-0096
(423) 314-3005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7191
TN
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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