Doris Childress, LMT

NPI #1891814133 in Benton, Arkansas

Provider Information

NPI Number
1891814133
Entity Type
Individual
Name
Doris Childress, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5913 RIVIERA DR
City
Benton
ZIP Code
72015-6659
Phone
(501) 653-2155

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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