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Individual

MARK KULPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2269 W 1150 N, PERRYSVILLE, IN 47974-8062
(217) 304-6919
Mailing address
2269 W 1150 N, PERRYSVILLE, IN 47974-8062
(217) 304-6919

Taxonomy

Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
041337165
IL
163WM1400X
Nurse Massage Therapist (NMT)
Primary
28186947A
IN
225700000X
Massage Therapist
227007700
IL
225700000X
Massage Therapist
MT20901677
IN

Other

Enumeration date
11/13/2023
Last updated
09/06/2025
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