Individual
MRS. WANDA KAY BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4563 TERRANG TRL, MACHESNEY PARK, IL 61115-2742
(815) 633-8757
Mailing address
4563 TERRANG TRL, MACHESNEY PARK, IL 61115-2742
(815) 633-8757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000304
IL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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