Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MSG013216 | PA |
NPI | 1003430216 |
---|---|
Provider Name | Aaron Twigg |
First Address | Buffalo Mills, PA 15534-7944 |
Second Address | New Paris, PA 15554-8509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2020 |
Last Update Date | 03/06/2020 |