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NPI Code Detail

MEDICARE: LOYAL HANDS MASSAGE THERAPY

MEDICARE: LOYAL HANDS MASSAGE THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance OrganizationCNA0100816IN
2302R00000XHealth Maintenance OrganizationMT20901551IN

General Provider Information

NPI Number : 1821520982
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOYAL HANDS MASSAGE THERAPY
Provider Business Mailing Address
First Line : 2804 55TH PL
Second Line : SUITE C
City : INDIANAPOLIS
State : IN
Zip : 46220-3585
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2804 55TH PL
Second Line : SUITE C
City : INDIANAPOLIS
State : IN
Zip : 46220-3585
Country : US
Telephone Number : 317-828-0078
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : STEPHANIE BELL
Credential :
Telephone Number : 317-828-0078
Provider Enumeration Date : 03/29/2017
Last Update Date : 04/14/2017

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Directions to “LOYAL HANDS MASSAGE THERAPY ” Practice Location

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