NPI 1083081400

Lauren Reese, CMT

Practitioner Massage Therapist Fort Wayne, IN

Practice location

Address: 5111 N Bend Dr, Fort Wayne, IN 46804-1753
Phone: (260) 436-8807
Mailing address: 6109 Shadow Ridge Pl, Fort Wayne, IN 46804-4297

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT21304814 (IN)

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Registry record

NPI: 1083081400
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2015
Record last updated: 2 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.