Individual
AMBER DANIELLE NICOLE WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E MARKET ST STE 930, INDIANAPOLIS, IN 46204-3265
(317) 724-4011
Mailing address
3408 CARICA DR, INDIANAPOLIS, IN 46203-6504
(317) 658-5677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20903252
IN
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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