Individual
REBECCA GWEN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1528 S MCKINLEY ST, HARRISBURG, IL 62946-3252
(618) 294-3043
Mailing address
1528 S MCKINLEY ST, HARRISBURG, IL 62946-3252
(618) 294-3043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016790
IL
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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