Individual provider · Type 1 NPI

Mary R. Bennett, CMT, NCTMB

Massage Therapist · Bedford, IN

NPI number 1104148162 Active

Practice location

2734 Washington Ave
Bedford, IN 47421-5314

Fax (812) 275-4654

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT20900282 (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 1104148162

Mary R. Bennett, CMT, NCTMB's National Provider Identifier is 1104148162, issued on Feb 18, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bedford, IN. The record was last updated on Feb 18, 2010.