Individual provider · Type 1 NPI
Marina Raven, PDMT, LMT
Massage Therapist · Indianapolis, IN
NPI number
1669247102
Active
Practice location
8202 Clearvista Pkwy Ste 9F
Indianapolis, IN 46256-1457
Mailing address
9920 E Southport Rd Rear
Indianapolis, IN 46259-1420
Other practice locations
- 1500 N Ritter Ave, Indianapolis, IN 46219-3027 · (317) 355-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT20901841 (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 1669247102
Marina Raven, PDMT, LMT's National Provider Identifier is 1669247102, issued on Nov 15, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 15, 2023.