Individual
MISS TEKLA RENEE BEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
7855 S EMERSON AVE STE W, INDIANAPOLIS, IN 46237-8669
(317) 889-5340
(317) 889-5711
Mailing address
7855 S EMERSON AVE STE W, INDIANAPOLIS, IN 46237-8669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
618108-12
IN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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