Individual
RHEAVEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
707 WALNUT ST, MURPHYSBORO, IL 62966-2125
(618) 207-4404
Mailing address
425 N ROBINSON CIR, APT M2, CARBONDALE, IL 62901-1096
(618) 561-0264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022765
IL
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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