Individual
EMILY DAWN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
222 ROY MARTIN RD, GRAY, TN 37615-3124
(423) 571-2721
Mailing address
222 ROY MARTIN RD, GRAY, TN 37615-3124
(423) 571-2721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4070
TN
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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