Individual
KANISHA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 CENTRAL AVE STE C, INDIANAPOLIS, IN 46205-4198
(463) 202-4007
Mailing address
129 PINE VIEW DR APT 7, CARMEL, IN 46032-5388
(463) 202-4007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20901920
IN
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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