Individual
VALERIE JUNE BROOKS TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7104 NOVAS LNDG, SELLERSBURG, IN 47172-1899
(502) 299-4256
(812) 203-5678
Mailing address
8129 HARMONY WAY, CHARLESTOWN, IN 47111-1302
(502) 299-4256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
296280
KY
225700000X
Massage Therapist
Primary
MT22408461
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT22408461
MASSAGE THERAPIST
IN
Enumeration date
10/02/2024
Last updated
07/17/2025
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