Samuel Wood
Massage Therapist in Mechanicsville, VA. Individual provider (NPI-1).
NPI number1871192542
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1871192542
- Entity type
- Individual (NPI-1)
- Name
- Samuel Wood
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 0019012711 | VA | Yes |
Practice location
10169 Niccole LnMechanicsville, VA 23116-4719
Phone 804-730-7782
Mailing address
10169 Niccole LnMechanicsville, VA 23116-4719
Phone 804-730-7782
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All 12 Massage Therapist providers in Mechanicsville · All 2,033 providers in Mechanicsville
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