Individual
STEPHANIE GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
641 W STEPHENSON ST, FREEPORT, IL 61032-5005
(815) 233-2292
Mailing address
412 N WEST ST, DAVIS, IL 61019-9101
(815) 608-2663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012887
IL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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