Individual
DANIEL SELVAGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
205 N WALNUT ST, SUITE 400, BLOOMINGTON, IN 47404-3982
(812) 340-5212
Mailing address
310 S ROGERS ST, BLOOMINGTON, IN 47403-1458
(812) 339-1391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA9828
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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