Individual
ANGELA KAYE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
840 W 17TH ST STE 9, BLOOMINGTON, IN 47404-3379
(865) 228-1566
Mailing address
840 W 17TH ST STE 9, BLOOMINGTON, IN 47404-3379
(865) 228-1566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-21906764
IN
Other
Enumeration date
08/03/2018
Last updated
05/23/2023
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