Individual provider · Type 1 NPI

Ebony Greenwade, LMT, MMP

Massage Therapist · Indianapolis, IN

NPI number 1063190130 Active

Practice location

1060 E 86th St Ste 61H
Indianapolis, IN 46240-1831

Call (317) 296-5348 Map

Mailing address

2620 Sickle Rd
Indianapolis, IN 46219-1338

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT21806682 (IN)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1063190130

Ebony Greenwade, LMT, MMP's National Provider Identifier is 1063190130, issued on Jul 10, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 10, 2023.