Individual
MS. LAURIE HAZEL HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
9247 N MERIDIAN ST, SUITE 210, INDIANAPOLIS, IN 46260-1879
(317) 966-8646
Mailing address
16765 AULTON DR, NOBLESVILLE, IN 46060-3949
(317) 966-8646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20903061
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT20903061
MASSAGE THERAPIST LICENSE
IN
Enumeration date
05/03/2011
Last updated
05/03/2011
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