Individual
INDIRA IVATURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIFESTYLE COACH
Contact information
Practice address
4779 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 235-5555
(812) 234-2700
Mailing address
PO BOX 6037, TERRE HAUTE, IN 47802-6037
(812) 235-5555
(812) 234-2700
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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