Individual
RAPHEAL INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8727 S KEYSTONE AVE APT 6, INDIANAPOLIS, IN 46227-0730
(815) 216-8310
Mailing address
8727 S KEYSTONE AVE APT 6, INDIANAPOLIS, IN 46227-0730
(815) 216-8310
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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