Individual
GLENNA LEANN KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
202 S 4TH ST, BOONVILLE, IN 47601-1806
(812) 660-2270
Mailing address
202 S 4TH ST, BOONVILLE, IN 47601-1806
(812) 660-2270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21003844
IN
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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