Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 33013185 | OH |
NPI | 1013925163 |
---|---|
Provider Name | Ms. Elaine M Templeton |
First Address | Mentor On The Lake, OH 44060-2071 |
Second Address | Mentor, OH 44060-5801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 07/08/2007 |