Individual
TANYA PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 INDIANA 127, ANGOLA, IN 46703
(517) 278-2519
Mailing address
2655 INDIANA 127, ANGOLA, IN 46703
(517) 278-2519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1220-05-6441
IN
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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