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NPI Code Detail

MEDICARE: CHRISTY FLEMING LMT

MEDICARE: CHRISTY FLEMING 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 Therapist2008-2492WV

General Provider Information

NPI Number : 1982839825
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY FLEMING LMT
Provider Business Mailing Address
First Line : 1605 GRAND CENTRAL AVENUE
Second Line :
City : VIENNA
State : WV
Zip : 26105-1081
Country : US
Telephone Number : 304-295-5505
Fax Number : 304-295-0503
Provider Business Practice Location Address
First Line : 1605 GRAND CENTRAL AVENUE
Second Line :
City : VIENNA
State : WV
Zip : 26105-1081
Country : US
Telephone Number : 304-295-5505
Fax Number : 304-295-0503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2009
Last Update Date : 05/21/2009

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Directions to “ CHRISTY FLEMING LMT” Practice Location

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