Individual
JENA KAY WEBBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4186 N PERRYVILLE RD, LOVES PARK, IL 61111-8647
(779) 475-3144
Mailing address
2759 SAVANNAH LN, ROCKFORD, IL 61102-3661
(815) 964-6462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227019533
IL
Other
Enumeration date
10/02/2017
Last updated
03/17/2018
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