Individual
MRS. SUSAN D MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1514 7TH AVE, TERRE HAUTE, IN 47807-1218
(317) 702-2769
Mailing address
1514 7TH AVE, TERRE HAUTE, IN 47807-1218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21003793
IN
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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