Individual
JUSTINE ELISE DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 N 7TH ST, VINCENNES, IN 47591-3107
(812) 255-0277
Mailing address
1216 RITTERSKAMP AVE, VINCENNES, IN 47591-4928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21304854
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
—
Enumeration date
04/28/2022
Last updated
04/28/2022
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