Organization
PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY P GRIEPENSTROH (OWNER MYOTHERAPIST)
(812) 529-8378
Entity
Organization
Contact information
Practice address
12198 N CR 600 E, LAMAR, IN 47550
(812) 529-8378
(812) 529-8360
Mailing address
12198 N CR 600 E, LAMAR, IN 47550-7267
(812) 529-8378
(812) 529-8360
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
IN000034153
IN
225700000X
Massage Therapist
IN000034153
IN
225700000X
Massage Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
IN000034153
IN
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN000034153
IN LICENSE # IN000034153
IN
Enumeration date
11/28/2007
Last updated
08/03/2009
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