Organization
RAY OF LIGHT HOLISTIC HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LAIDLAW BS, CMT (OWNER)
(574) 264-2600
Entity
Organization
Contact information
Practice address
1709 E BRISTOL ST, SUITE B, ELKHART, IN 46514-6606
(574) 264-2600
Mailing address
1709 E BRISTOL ST, SUITE B, ELKHART, IN 46514-6606
(574) 264-2600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
84000025A
IN
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
MT20900230
IN
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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