Individual
JESSICA LYNN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 S MAIN ST, SENECA, IL 61360-9437
(815) 357-6858
Mailing address
276 YOUNG ST, MARSEILLES, IL 61341-1825
(815) 830-1767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009333
IL
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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