IndividualActive
Candace Black
NPI 1093604852 · Massage Therapist · Indianapolis, IN
Provider details
- NPI number
- 1093604852
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MT22408466 (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1609 S East St
Indianapolis, IN 46225-1809
Phone: (317) 210-3198
Approximate (ZIP-level) locationGet directions
Mailing address
1609 S East St
Indianapolis, IN 46225-1809
Registry dates
- Enumerated
- 2025-06-28
- Last updated
- 2025-06-28
- Certified
- 2025-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.