Jeanette Danielle Davis
Massage Therapist in South Charleston, WV. Individual provider (NPI-1).
NPI number1962045815
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1962045815
- Entity type
- Individual (NPI-1)
- Name
- Jeanette Danielle Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2019
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2012-2933 | WV | Yes |
Practice location
415 1/2 D St Ste 3South Charleston, WV 25303-3114
Phone 304-610-1947
Mailing address
415 1/2 D St Ste 3South Charleston, WV 25303-3114
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Other Massage Therapist providers in South Charleston, WV
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- Lesia J Null, LMTNPI 1902045958
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All 8 Massage Therapist providers in South Charleston · All 2,788 providers in South Charleston
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