Individual
BETH FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1608 HOME AVE, COLUMBUS, IN 47201-5260
(812) 350-4286
Mailing address
1608 HOME AVE, COLUMBUS, IN 47201-5260
(812) 350-4286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IN
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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