Individual
MRS. LEAH J TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CMT
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(812) 334-7604
(812) 334-7705
Mailing address
10747 US HIGHWAY 50 W, BEDFORD, IN 47421-8331
(812) 279-3320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002501A
IN
225700000X
Massage Therapist
MT20900843
IN
Other
Enumeration date
04/19/2011
Last updated
04/17/2012
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