Individual
ASHLEY NICOLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
139 S 5TH ST, RICHMOND, IN 47374-4222
(765) 488-5198
Mailing address
139 S 5TH ST, RICHMOND, IN 47374-4222
(765) 488-5198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21806538
IN
Other
Enumeration date
09/10/2020
Last updated
09/21/2020
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