Individual
VICTOR REYES ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1355 W 96TH ST, INDIANAPOLIS, IN 46260-1101
(317) 201-6978
Mailing address
8820 YARDLEY CT APT 310, INDIANAPOLIS, IN 46268-4269
(317) 201-6978
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21304667
IN
Other
Enumeration date
07/05/2017
Last updated
08/19/2020
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