Individual
JODI LEE BRANKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1414 W FACTORY AVE, MARION, IN 46952-2431
(765) 618-4398
Mailing address
614 W 2ND ST, MARION, IN 46952-3701
(765) 618-4398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21906853
IN
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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