Individual
MRS. KATHRYN DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
402 W 6TH ST, BRAIDWOOD, IL 60408-1330
(815) 351-3356
Mailing address
402 W 6TH ST, BRAIDWOOD, IL 60408-1330
(815) 351-3356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017707
IL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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