Individual
JILLIAN M SHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Mailing address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33018611
OH
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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