Individual
KITTY BERRY AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1931 N 3RD ST, TERRE HAUTE, IN 47804-4038
(812) 233-8170
Mailing address
PO BOX 40, SAINT MARY OF THE WOODS, IN 47876-0040
(812) 243-6940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21405204
IN
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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