Individual
JASON COCKFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
56 ELA RD, INVERNESS, IL 60067-4451
(630) 550-9214
Mailing address
56 ELA RD, INVERNESS, IL 60067-4451
(630) 550-9214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022308
IL
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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