Eric Ryan Davis, LMT
Massage Therapist in Mobile, AL. Individual provider (NPI-1).
NPI number1114397205
StatusActive
Last updated in NPPESOct 1, 2015
Details
- NPI
- 1114397205
- Entity type
- Individual (NPI-1)
- Name
- Eric Ryan Davis
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2015
- Last updated
- Oct 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2688 | AL | Yes |
Practice location
167 Rhea AveMobile, AL 36606-2353
Phone 251-518-6049
Mailing address
167 Rhea AveMobile, AL 36606-2353
Phone 251-518-6049
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