NPI 1003317868

Susan Annette Oliver, LMT

Practitioner Massage Therapist Kingsport, TN

Practice location

Address: 220 Broad St STE 203, Kingsport, TN 37660-4245
Phone: (423) 361-0545
Mailing address: 195 Woodmont Ave, Kingsport, TN 37660-3224

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 10572 (TN)

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Registry record

NPI: 1003317868
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2018
Record last updated: 26 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.