Defiance Therapeutic Massage & Wellness Center, LLC

NPI #1003117441 in Defiance, Ohio

Provider Information

NPI Number: 1003117441
Entity Type: Organization
Organization Name: Defiance Therapeutic Massage & Wellness Center, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2010
Last Updated: Nov 16, 2010

Practice Location

Address: 8081 ADAMS RIDGE RD
City: Defiance
State: Ohio
ZIP Code: 43512-9173
Phone: (419) 497-2112

Authorized Official

Name: MRS. CARRIE RADZIK, ATC, LMT
Title: OWNER/ DIRECTOR
Phone: (419) 497-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Specialist	174400000X	Primary

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