Individual
LAURA MADIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
751 E PORTER AVE, SUITE 3, CHESTERTON, IN 46304-9110
(219) 293-0061
Mailing address
751 E PORTER AVE, SUITE 3, CHESTERTON, IN 46304-9110
(219) 293-0061
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21605769
IN
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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