Individual
SUSAN RENEE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2734 WASHINGTON AVE, BEDFORD, IN 47421-5314
(812) 278-1000
Mailing address
2734 WASHINGTON AVE, BEDFORD, IN 47421-5314
(812) 278-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901937
IN
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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