Individual provider · Type 1 NPI

Susan Annette Oliver, LMT

Massage Therapist · Kingsport, TN

NPI number 1003317868 Active

Practice location

220 Broad St Ste 203
Kingsport, TN 37660-4245

Mailing address

195 Woodmont Ave
Kingsport, TN 37660-3224

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10572 (TN)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003317868

Susan Annette Oliver, LMT's National Provider Identifier is 1003317868, issued on Feb 26, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kingsport, TN. The record was last updated on Feb 26, 2018.