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Dawn Weideman, lmt

Massage Therapist in Sylvania, OH. Individual provider (NPI-1).

NPI number1912363789
StatusActive
Last updated in NPPESJan 11, 2016

Details

NPI
1912363789
Entity type
Individual (NPI-1)
Name
Dawn Weideman
Credential
lmt
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2016
Last updated
Jan 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist33.008529OHYes

Practice location

5465 Main St
Sylvania, OH 43560-2155

Phone 419-810-1731

Mailing address

1909 Old Planke Rd
Holland, OH 43528

Phone 419-810-1731

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