Female

Ms. Edna M. Williams-moore L.M.T.

Massage Therapist in Indianapolis, IN(View on Map)

Full Name

Ms. Edna Marie Williams-moore L.M.T.

NPI Number

1467889758

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/01/2013

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

MT20902678

Contact
Information

Purpose

Mailing
Location

Address

2549 E 55TH PL
2549 E 55TH PL

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46220-3525
46220-3525

Country

US
US

Telephone Number

(317) 542-7680
(317) 542-7680

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/01/2013

Provider Address

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