Individual
KAYLA CHRISTINE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1713 N COLLEGE AVE, BLOOMINGTON, IN 47404-2478
(812) 337-3529
Mailing address
212 SE 1ST ST, LOOGOOTEE, IN 47553-1641
(812) 318-6223
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104133
IN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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