| Ishmael Conwell, | |
|
8948 Persimmon Trl Apt 304, Memphis, TN 38125-4029 | |
| (843) 997-4145 | |
| Not Available |
| Full Name | Ishmael Conwell |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 8948 Persimmon Trl Apt 304, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487250072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 0000013148 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ishmael Conwell, 8948 Persimmon Trl Apt 304, Memphis, TN 38125-4029 Ph: (843) 997-4145 | Ishmael Conwell, 8948 Persimmon Trl Apt 304, Memphis, TN 38125-4029 Ph: (843) 997-4145 |
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