Individual
KRISTA OPOCENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11774 TECHNOLOGY DR, FISHERS, IN 46038-2829
(317) 995-7094
Mailing address
11774 TECHNOLOGY DR, FISHERS, IN 46038-2829
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21505665
IN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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