Charles D. Avery, LMT Valid NPI

Individual provider · Massage Therapist · Superior, MT

NPI

1386043289

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

LMT-LMT-LIC6171 (MT)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-08-15

Last updated

2014-08-15