Individual
GALE J WADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
940 PLAZA DR, MARTINSVILLE, IN 46151-3237
(765) 346-9634
Mailing address
4001 STATE ROAD 44, MARTINSVILLE, IN 46151-9293
(765) 426-1407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900745
IN
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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