| Elijah Castillo, MT, LE | |
|
6117 N College Ave Ste 2, Indianapolis, IN 46220-1952 | |
| (317) 813-9244 | |
| Not Available |
| Full Name | Elijah Castillo |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 6117 N College Ave Ste 2, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811480916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT21204373 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elijah Castillo, MT, LE 9877 Commonwealth Dr, Fishers, IN 46038-8849 Ph: (317) 813-9244 | Elijah Castillo, MT, LE 6117 N College Ave Ste 2, Indianapolis, IN 46220-1952 Ph: (317) 813-9244 |
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