Individual
MRS. KAYLA LYNN MCCOLLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
310 S GREENLEAF ST STE 208, GURNEE, IL 60031-5708
(847) 623-4100
Mailing address
38743 N BEECHWOOD AVE, SPRING GROVE, IL 60081-9106
(847) 721-8065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227020413
IL
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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