NPI 1124349188

Dennis L Maxwell, LMT

Practitioner Massage Therapist Cookeville, TN

Practice location

Address: 802 E 10th St Suite a, Cookeville, TN 38501-1911
Phone: (931) 261-3519
Mailing address: PO Box 201, Baxter, TN 38544-0201

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8180 (TN)

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Registry record

NPI: 1124349188
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2010
Record last updated: 14 Jun 2010

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.