Individual
ERICA STORCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 GREENVIEW DR, EFFINGHAM, IL 62401-3048
(217) 663-4454
Mailing address
2664 E 1075 AVE, FARINA, IL 62838-2121
(217) 663-4454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009678
IL
225700000X
Massage Therapist
227009678
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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