Individual
DREW STOCKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
600 N JORDAN AVE, HEALTH CENTER HEALTH AND WELLNESS, BLOOMINGTON, IN 47405-3190
(812) 855-8230
Mailing address
600 N JORDAN AVE, HEALTH CENTER HEALTH AND WELLNESS, BLOOMINGTON, IN 47405-3190
(812) 855-8230
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT20902975
IN
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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