Ms Mary Alice Childers, is a
Massage Therapist based in Depauw, Indiana. Ms Mary Alice Childers is licensed to practice in * (Not Available) (license number ) and her current practice location is
4040 Loudens Chapel Rd Nw, Depauw, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 972-0009.
NPI number for Ms Mary Alice Childers is 1063728772 and her current mailing address is 4040 Loudens Chapel Rd Nw, Depauw, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063728772.
Healthcare Provider's Profile
Full Name | Ms Mary Alice Childers |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 4040 Loudens Chapel Rd Nw, Depauw, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063728772
- Provider Enumeration Date: 08/19/2010
- Last Update Date: 08/19/2010
Medical Identifiers
Medical identifiers for Ms Mary Alice Childers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063728772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Alice Childers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Mary Alice Childers, 4040 Loudens Chapel Rd Nw, Depauw, IN 47115-8745 Ph: (812) 972-0009 | Ms Mary Alice Childers, 4040 Loudens Chapel Rd Nw, Depauw, IN 47115-8745 Ph: (812) 972-0009 |
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