Individual
SUSAN MICHELE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2106 W SPRINGFIELD AVE STE E, CHAMPAIGN, IL 61821-2979
(217) 819-2155
Mailing address
2106 W SPRINGFIELD AVE STE E, CHAMPAIGN, IL 61821-2979
(217) 819-2155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016138
IL
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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