Individual
KATHY BURGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7962 OAKLANDON RD STE 106H, INDIANAPOLIS, IN 46236
(317) 372-1988
Mailing address
7962 OAKLANDON RD STE 106H, INDIANAPOLIS, IN 46236-7502
(317) 372-1988
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT20900387
IN
225700000X
Massage Therapist
Primary
MT20900387
IN
Other
Enumeration date
02/16/2010
Last updated
05/28/2018
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