Laura Ingram, LMT

NPI #1275636268 in Marianna, Florida

Provider Information

NPI Number
1275636268
Entity Type
Individual
Name
Laura Ingram, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Sep 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4440 LAFAYETTE ST
Address 2
SUITE K
State
Florida
ZIP Code
32446-3410
Phone
(850) 482-0082

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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