Individual
MELISSA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/CMMP/CNA
Contact information
Practice address
25 WHITE CT, CANTON, IL 61520-2626
(309) 338-3953
Mailing address
714 N 9TH AVE, CANTON, IL 61520-1435
(309) 338-3953
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227003112
IL
376K00000X
Nurse's Aide
—
IL
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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