Individual provider · Type 1 NPI

Mary Magdaline Claridge, LMT

Massage Therapist · London, KY

NPI number 1619294030 Active

Practice location

649 Meyers Baker Rd
London, KY 40741-3006

Mailing address

100 Tobie Ln
London, KY 40741-2642

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-0213 (KY)

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 1619294030

Mary Magdaline Claridge, LMT's National Provider Identifier is 1619294030, issued on Apr 25, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in London, KY. The record was last updated on Apr 25, 2010.