Individual
MR. JIMMIE RAY MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
813 STEWART ST, CARMI, IL 62821-1278
(618) 382-5449
Mailing address
304 N CHURCH ST, SUITE 1, CARMI, IL 62821-1483
(618) 384-6941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227008322
IL
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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