SearchIndiana225700000X

Mable-Gene Louise, LMT

NPI 1457079857 · on the registry since 2022 · sole proprietor

Practice

Address
5111 N Bend Dr
Fort Wayne, IN 46804
Phone
(260) 436-8807
Organisation at this address
Vital Living Therapeutic Massage, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225A00000X
253Z00000X
376K00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana