Edmund Green, LMT

NPI #1861195703 in Mentor, Ohio

Provider Information

NPI Number: 1861195703
Entity Type: Individual
Name: Edmund Green, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 8500 STATION ST STE 300D
City: Mentor
State: Ohio
ZIP Code: 44060-4963
Phone: (216) 849-1079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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