Individual
MARIAH MARLY PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
2120 W MAIN ST STE 6, CABOT, AR 72023-7442
(501) 519-3495
Mailing address
35 SIERRA DR, AUSTIN, AR 72007-4002
(501) 519-3495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3791
AR
Other
Enumeration date
02/22/2024
Last updated
03/20/2024
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