Center for Myofascial Therapeutics and Aesthetics

NPI #1932750056 in Saint John, Indiana

Provider Information

NPI Number
1932750056
Entity Type
Organization
Organization Name
Center for Myofascial Therapeutics and Aesthetics
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 20, 2019
Last Updated
Aug 21, 2023

Practice Location

Address
9430 WICKER AVE
State
Indiana
ZIP Code
46373-9400
Phone
(219) 558-8068

Authorized Official

Name
ARIEL BRAZZALE, NP
Title
CEO
Phone
(219) 669-1034

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant
Nurse Practitioner

Additional Practice Locations

7749 West 105th Avenue

Crown Point, IN, 46307

(219) 669-1034

8701 Broadway

Merrillville, IN, 46410-7035

(219) 558-8068

929 Ridge Rd Ste 7

Munster, IN, 46321-1769

(219) 558-8068

2020 E Columbus Dr Ste B

East Chicago, IN, 46312-2830

(219) 397-8648

901 MacArthur Blvd

Munster, IN, 46321-2959

(219) 558-8068

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