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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT21405186 (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.