Individual provider · Type 1 NPI
Lavonda Gaye Martin, LMT
Massage Therapist · Charleston, AR
NPI number
1609606581
Active
Practice location
22 N Greenwood Street
Charleston, AR 72930
Mailing address
11400 N Highway 96
Cecil, AR 72930-3049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1616562 (AR) |
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.
About NPI 1609606581
Lavonda Gaye Martin, LMT's National Provider Identifier is 1609606581, issued on Aug 5, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charleston, AR. The record was last updated on Aug 5, 2024.