Individual
AMY BIALOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
(219) 836-2344
Mailing address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
(219) 836-2344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900155
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT20900155
LICENSE NUMBER
IN
Enumeration date
06/30/2014
Last updated
06/30/2014
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