Organization
THREE PATHS MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AME NGUYEN LMT (OWNER)
(309) 839-2004
Entity
Organization
Contact information
Practice address
5901 N PROSPECT RD STE 102, PEORIA, IL 61614-4395
(309) 839-2004
Mailing address
5901 N PROSPECT RD STE 102, PEORIA, IL 61614-4395
(309) 839-2004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227000906
IL
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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