Individual
AMBER RUTH BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
206 S GALENA AVE, SUITE 10, FREEPORT, IL 61032-5174
(228) 363-2812
Mailing address
4234 AUTUMN LN, FREEPORT, IL 61032-8640
(815) 232-2787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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