| Spencer Mcnelly, | |
|
4637 Round Lake Rd Apt G, Indianapolis, IN 46205-2334 | |
| (812) 325-0353 | |
| Not Available |
| Full Name | Spencer Mcnelly |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 4637 Round Lake Rd Apt G, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376209395 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT22107325 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Mcnelly, 4637 Round Lake Rd Apt G, Indianapolis, IN 46205-2334 Ph: () - | Spencer Mcnelly, 4637 Round Lake Rd Apt G, Indianapolis, IN 46205-2334 Ph: (812) 325-0353 |
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