Individual
MRS. ROXANNE K DIEROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
405 3RD ST, SUITE B, SHERRARD, IL 61281-7706
(309) 593-9112
Mailing address
405 3RD ST, P.O. BOX 511, SHERRARD, IL 61281-7706
(309) 593-9112
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
227.011221
IL
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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