Individual
REBECCA CHRISTINE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 N GLADSTONE AVE, INDIANAPOLIS, IN 46201-3602
(317) 384-3203
Mailing address
16 N GLADSTONE AVE, INDIANAPOLIS, IN 46201-3602
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22107555
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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