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>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1235389214

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
102 E HACKBERRY ST SUITE 100 SALEM, IN 47167-2002 US
Tel: 812-586-0156  Fax: --

Contact information for business:
102 E HACKBERRY ST SUITE 100 SALEM, IN 47167-2002 US
Tel: 812-586-0156  Fax: --

Registration Information:
NPI: 1235389214
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist

Legacy codes, insurance codes and state license numbers:



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