Provider Demographics
NPI:1780196196
Name:SAAM, ANGELA K (LMT, MMP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:K
Last Name:SAAM
Suffix:
Gender:F
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3303
Mailing Address - Country:US
Mailing Address - Phone:567-250-8898
Mailing Address - Fax:567-294-4003
Practice Address - Street 1:329 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3303
Practice Address - Country:US
Practice Address - Phone:567-250-8898
Practice Address - Fax:567-250-8898
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.017427225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty