Organization
FOREST AURA WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUE MOORE CMT (OWNER, CERTIFIED MASSAGE THERAPIST)
(317) 549-5047
Entity
Organization
Contact information
Practice address
13295 ILLINOIS ST, SUITE 310, CARMEL, IN 46032-3019
(317) 549-5047
Mailing address
13295 ILLINOIS ST, SUITE 310, CARMEL, IN 46032-3019
(317) 549-5047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902986
IN
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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