Individual
MR. ADLEY AARON VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4317 E 11TH PL, GARY, IN 46403-3551
(219) 256-2614
Mailing address
4317 E 11TH PL, GARY, IN 46403-3551
(219) 256-2614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20903113
IN
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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