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Body Movement Energy

Massage Therapist in Clarksburg, WV. Organization (NPI-2).

NPI number1407124209
StatusActive
Last updated in NPPESDec 7, 2011

Details

NPI
1407124209
Entity type
Organization (NPI-2)
Legal business name
Body Movement Energy
Organization subpart
No
Enumeration date
Dec 7, 2011
Last updated
Dec 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist20112912WVYes

Practice location

111 S 4th St
Clarksburg, WV 26301-2801

Phone 304-566-4438

Mailing address

111 S 4th St
Clarksburg, WV 26301-2801

Authorized official

Donetta Booth Watson
Wv Licensed Massage Therapist
3042033779

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