Individual provider · Type 1 NPI
Candace Black
Massage Therapist · Indianapolis, IN
NPI number
1093604852
Active
Practice location
1609 S East St
Indianapolis, IN 46225-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT22408466 (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 1093604852
Candace Black's National Provider Identifier is 1093604852, issued on Jun 28, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 28, 2025.