Organization
MASSAGE THERAPY CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN SUE JALAE-BROWN (CEO)
(260) 492-9999
Entity
Organization
Contact information
Practice address
6409 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 492-9999
(260) 969-1105
Mailing address
6409 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 46815-7007
(260) 492-9999
(260) 492-1105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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