Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2977 | AL |
NPI | 1013254572 |
---|---|
Provider Name | Ms. Dana M Duskin |
First Address | Huntsville, AL 35801-5335 |
Second Address | Huntsville, AL 35801-5335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2013 |
Last Update Date | 03/01/2013 |