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Michael Fawcett I, L.M.T.

Mechanotherapist in Columbus, OH. Individual provider (NPI-1).

NPI number1760880579
StatusActive
Last updated in NPPESDec 10, 2014

Details

NPI
1760880579
Entity type
Individual (NPI-1)
Name
Michael Fawcett I
Credential
L.M.T.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 10, 2014
Last updated
Dec 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172M00000X Mechanotherapist021186OHYes

Practice location

5151 Reed Rd
Columbus, OH 43220-2553

Phone 704-807-0192

Mailing address

959 Danvers Ave
Westerville, OH 43081-1113

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