Provider Demographics
NPI:1699518878
Name:BREEDING, MARGARET JULIA (LMT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JULIA
Last Name:BREEDING
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:JULIA
Other - Last Name:FOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3649
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:615 ROGERS ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3649
Practice Address - Country:US
Practice Address - Phone:304-716-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2024-4116225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist