Individual provider · Type 1 NPI

Beth Ann Denniston, MT

Massage Therapist · Bloomington, IN

NPI number 1962065813 Active

Practice location

341 S Lincoln St Apt 4
Bloomington, IN 47401-2705

Mailing address

4123 W Sierra Dr
Bloomington, IN 47403-5138

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT21405186 (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 1962065813

Beth Ann Denniston, MT's National Provider Identifier is 1962065813, issued on Apr 16, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomington, IN. The record was last updated on Apr 16, 2019.