Individual
MRS. AMBER MARIE LOY-BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
119 S ANDERSON ST, ELWOOD, IN 46036
(765) 623-0258
Mailing address
119 S ANDERSON ST, ELWOOD, IN 46036
(765) 623-0258
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21103939
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT21103939
MASSAGE THERAPY LICENSE NUMBER
IN
Enumeration date
02/01/2021
Last updated
02/01/2021
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