Individual
MARISA CATHERINE THURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1301 FLETCHER AVE, INDIANAPOLIS, IN 46203-1140
(317) 514-5089
(317) 677-8691
Mailing address
1301 FLETCHER AVE, INDIANAPOLIS, IN 46203-1140
(317) 514-5089
(317) 677-8691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT20900414
IN
246RP1900X
Phlebotomy Technician
Primary
Q4X8C6F4
IN
Other
Enumeration date
01/15/2013
Last updated
04/24/2015
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