Organization
KNEADED MEDICAL MASSAGE LLC
Active
Other names
Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ASHLEY COBURN LMT (CO-OWNER)
(304) 952-1692
Entity
Organization
Contact information
Practice address
167 DRY HILL RD, BECKLEY, WV 25801-2603
(304) 256-1111
(304) 256-1113
Mailing address
PO BOX 586, BECKLEY, WV 25802-0586
(304) 256-1111
(304) 256-1113
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2014-3267
WV
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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