Organization
RESTORE & RENEW MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE C EWING LMT, PTA (OWNER)
(304) 647-3233
Entity
Organization
Contact information
Practice address
318 W. WASHINGTON ST., SUITE B, LEWISBURG, WV 24901-1316
(304) 647-3233
Mailing address
318 W. WASHINGTON ST., SUITE B, LEWISBURG, WV 24901-1316
(304) 647-3233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2001-1648
WV
Other
Enumeration date
01/20/2014
Last updated
12/03/2014
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