Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 33.014408 | OH |
NPI | 1003144874 |
---|---|
Provider Name | Mrs. Amy Haaser Dumas |
First Address | Perrysburg, OH 43551-1459 |
Second Address | Perrysburg, OH 43551-1459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2009 |
Last Update Date | 06/12/2009 |