Individual provider · Type 1 NPI
Mary Alice Childers
Massage Therapist · Depauw, IN
NPI number
1063728772
Active
Practice location
4040 Loudens Chapel Rd NW
Depauw, IN 47115-8745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
About NPI 1063728772
Mary Alice Childers's National Provider Identifier is 1063728772, issued on Aug 19, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Depauw, IN. The record was last updated on Aug 19, 2010.