Individual
JENNIFER WILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT, RYT
Contact information
Practice address
713 W WYLIE ST, BLOOMINGTON, IN 47403-2346
(812) 320-1462
Mailing address
713 W WYLIE ST, BLOOMINGTON, IN 47403-2346
(812) 320-1462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901268
IN
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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