Individual
MARY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3555 N NATIONAL RD, COLUMBUS, IN 47201-2254
(812) 372-1300
Mailing address
601 W 5TH ST, SEYMOUR, IN 47274-1905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21806717
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT21806717
—
IN
Enumeration date
06/22/2019
Last updated
06/22/2019
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