Individual
MS. KAROL L DISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
459 N MAIN ST, LEXINGTON, TN 38351-1431
(731) 968-9206
Mailing address
335 EASTERN SHORES DR, LEXINGTON, TN 38351-1215
(731) 968-9206
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA47493
FL
172M00000X
Mechanotherapist
Primary
MT 0000006204
TN
225700000X
Massage Therapist
MA47493
FL
225700000X
Massage Therapist
MT 0000006204
TN
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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