Individual
MARINA RAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PDMT, LMT
Contact information
Practice address
8202 CLEARVISTA PKWY STE 9F, INDIANAPOLIS, IN 46256-1457
(317) 204-4285
Mailing address
9920 E SOUTHPORT RD REAR, INDIANAPOLIS, IN 46259-1420
(317) 513-7725
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901841
IN
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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