Individual
JESSICA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 RUSTON PASS STE B, FORT WAYNE, IN 46825-1572
(360) 201-7718
Mailing address
498 LOWRY WAY, ROANOKE, IN 46783-9196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21907045
IN
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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