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General NPI Number Information
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NPI Number | 1174405765
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Entity Type | Individual
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Provider Name | KATELYNN ZIEGLER LMT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 11720 OLIO RD STE 400
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City | FISHERS
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State | IN
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Zip | 46037-7674
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Country | US
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Telephone | 765-667-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 9270 STONEBRIDGE DR APT A
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-4545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT22107309
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License Number State | IN
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