MEDICARE: MRS. LI CHEN MT

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
1	225700000X	Massage Therapist	MT22508562	IN

General Provider Information

NPI Number	:	1922803105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LI CHEN MT

Provider Business Mailing Address
First Line	:	6411 MCKEE DR
Second Line	:
City	:	PLAINFIELD
State	:	IN
Zip	:	46168-9184
Country	:	US
Telephone Number	:	317-400-2067
Fax Number	:

Provider Business Practice Location Address
First Line	:	7780 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2374
Country	:	US
Telephone Number	:	317-400-2067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

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Directions to “ MRS. LI CHEN MT” Practice Location

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