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NPI Code Detail

MEDICARE: RHONDA S SKAGGS LMT

MEDICARE: RHONDA S SKAGGS LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist014667OH

General Provider Information

NPI Number : 1033429956
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA S SKAGGS LMT
Provider Business Mailing Address
First Line : 5491 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2325
Country : US
Telephone Number : 937-233-8510
Fax Number : 937-436-7399
Provider Business Practice Location Address
First Line : 5491 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2325
Country : US
Telephone Number : 937-233-8510
Fax Number : 937-436-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 10/13/2010

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Directions to “ RHONDA S SKAGGS LMT” Practice Location

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