Individual
DANIELLE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
132 S WATER ST STE 430, DECATUR, IL 62523-2305
(309) 838-2535
Mailing address
215 N ELM ST, CLINTON, IL 61727-1604
(309) 838-2535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227020070
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
I DO NOT HAVE THIS NUMBER
—
Enumeration date
09/28/2020
Last updated
09/28/2020
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