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General NPI Number Information
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NPI Number | 1639026248
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Entity Type | Individual
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Provider Name | KRISTIE LENZ LMT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 111 S BROADWAY ST
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City | BUTLER
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State | IN
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Zip | 46721-1303
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Country | US
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Telephone | 260-276-3037
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Fax |
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Provider Business Mailing Address
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Address Line | 2174 COUNTY ROAD 4
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City | ASHLEY
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State | IN
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Zip | 46705-9718
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Country | US
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Telephone | 260-276-3037
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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 | MT22107416
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License Number State | IN
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