Individual
NATHAN DANIEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2505 WATERBURY PL, CHAMPAIGN, IL 61822-6253
(217) 552-9115
Mailing address
2505 WATERBURY PL, CHAMPAIGN, IL 61822-6253
(217) 552-9115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022771
IL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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