Organization
ICT MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN IDLEMAN LMT (OWNER/ MASSAGE THERAPIST)
(316) 737-0160
Entity
Organization
Contact information
Practice address
520 S HOLLAND LN STE 407, WICHITA, KS 67209-2060
(316) 737-0160
Mailing address
520 S HOLLAND LN STE 407, WICHITA, KS 67209-2060
(316) 737-0160
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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