Individual
LARA CHILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2250 W 86TH ST STE 100, INDIANAPOLIS, IN 46260-1965
(317) 876-7826
Mailing address
5909 NASH LN, SPEEDWAY, IN 46224-5310
(317) 441-3824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104206
IN
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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