Individual
THERESA DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 S 8TH ST, RICHMOND, IN 47374-5441
(765) 977-4381
Mailing address
15047 CEMETERY RD, MILTON, IN 47357-9716
(765) 977-4381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900391
IN
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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