Individual
MEGAN DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2103 E WASHINGTON ST STE 2F, BLOOMINGTON, IL 61701-4365
(309) 287-0716
Mailing address
1110 N WESTERN AVE, BLOOMINGTON, IL 61701-1561
(309) 287-0716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227015030
IL
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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