Individual
DAVINA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMT
Contact information
Practice address
10413 S ROBERTS RD, PALOS HILLS, IL 60465-1931
(773) 835-1335
Mailing address
2548 W 80TH ST, CHICAGO, IL 60652-2858
(773) 835-1335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022861
IL
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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