Individual
RACHELLE L WILKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
401 S CRESCENT ST., GILMAN, IL 60938
(815) 471-6888
(815) 265-4210
Mailing address
401 S. CRESCENT ST., GILMAN, IL 60938
(815) 471-6888
(815) 265-4210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013679
IL
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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