Individual
MARY R BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCTMB
Contact information
Practice address
2734 WASHINGTON AVE, BEDFORD, IN 47421-5314
(812) 276-5941
(812) 275-4654
Mailing address
2734 WASHINGTON AVE, BEDFORD, IN 47421-5314
(812) 276-5941
(812) 275-4654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900282
IN
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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