Individual
LAURA DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13550 S ROUTE 30, LOWER LEVEL 104, PLAINFIELD, IL 60544-5685
(815) 230-3776
Mailing address
1302 CORA ST, JOLIET, IL 60435-2621
(815) 230-3776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014779
IL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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