Provider Demographics
NPI:1841598125
Name:PERL, MAGGI (MARGARET) LOUISE (LMT)
Entity Type:Individual
Prefix:MS
First Name:MAGGI (MARGARET)
Middle Name:LOUISE
Last Name:PERL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 MAGGI LANE
Mailing Address - Street 2:
Mailing Address - City:SIAS
Mailing Address - State:WV
Mailing Address - Zip Code:25506
Mailing Address - Country:US
Mailing Address - Phone:304-778-3772
Mailing Address - Fax:
Practice Address - Street 1:AT SHARON'S KUT & KURL WHITE'S SHOPPING PLAZA
Practice Address - Street 2:MAGGI'S MASSAGE THERAPY
Practice Address - City:HAMLIN
Practice Address - State:WV
Practice Address - Zip Code:25523
Practice Address - Country:US
Practice Address - Phone:304-561-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1998-0202225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist