Individual
MISS SAMANTHA TRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8690 W PAHS RD, MICHIGAN CITY, IN 46360-7666
(219) 872-5151
Mailing address
422 HOLLY RD, MICHIGAN CITY, IN 46360-7435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900512
IN
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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