John Martin Puckett, LMT
Contractor in Mount Orab, OH. Individual provider (NPI-1).
NPI number1396981908
StatusActive
Last updated in NPPESJan 2, 2009
Details
- NPI
- 1396981908
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Martin Puckett
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2009
- Last updated
- Jan 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 015389 | OH | Yes |
Practice location
453 West Main StreetMount Orab, OH 45154
Phone 937-783-4535 · Fax 937-783-0009
Mailing address
661 West Main StreetBlanchester, OH 45107
Phone 937-783-4535 · Fax 937-783-0009
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