Individual
MRS. CHANTALLE ULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3210 SUNRISE VIEW ST, MCHENRY, IL 60050-8261
(815) 403-9106
Mailing address
3210 SUNRISE VIEW ST, MCHENRY, IL 60050-8261
(815) 403-9106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012333
IL
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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