Individual
AMY BETH BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 N COLLEGE AVE STE 1, BLOOMINGTON, IN 47404-2479
(812) 337-3529
Mailing address
1318 W KIRKWOOD AVE, BLOOMINGTON, IN 47404-5062
(812) 325-2985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902125
IN
Other
Enumeration date
10/08/2019
Last updated
08/26/2020
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