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Organization

MUSCLE THERAPY CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHLEEN SUE JALAE-BROWN CERTIFIED MASSAGE TH (OWNER)
(260) 492-9999
Entity
Organization

Contact information

Practice address
6409 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815
(260) 492-9999
(260) 969-1105
Mailing address
6409 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815
(260) 492-9999
(260) 969-1105

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
05/16/2007
Last updated
08/22/2020
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