Amy E Edgington, LMT

Individual provider Active NPI Massage Therapist · Spencerville, OH

NPI 1043561145 · NPPES record last updated Sep 28, 2012

Key facts

NPI
1043561145
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
33.018862-E-G (OH)
Practice address
9354 Kephart Rd
Spencerville, OH 45887-9779
Phone
(419) 302-1571
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33.018862-E-GOHMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.018862-E-G OH Yes

Addresses

Primary practice location

9354 Kephart Rd
Spencerville, OH 45887-9779

Mailing address

9354 Kephart Rd
Spencerville, OH 45887-9779
Phone (419) 302-1571

Other providers in Spencerville, OH

All providers in Spencerville, OH · Massage Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.