Individual
ARDELLE CARLENE DUTTLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
260 S MAIN ST, SENECA, IL 61360-9414
(815) 357-6858
Mailing address
1114 BRATTON AVE, MARSEILLES, IL 61341-1006
(309) 883-4363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021458
IL
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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