Individual
EMILY ANASTASIA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LE
Contact information
Practice address
4091 WILLIAM AVE, FRANKLIN, IN 46131-9587
(317) 966-4652
Mailing address
4091 WILLIAM AVE, FRANKLIN, IN 46131-9587
(317) 966-4652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21405075
IN
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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