Individual
JUDITH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
3630 LEATHERWOOD RD, BEDFORD, IN 47421-8791
(812) 797-1813
Mailing address
3630 LEATHERWOOD RD, BEDFORD, IN 47421-8791
(812) 797-1813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902950
IN
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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