Individual
MRS. TABITHA A SCHULTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 INDUSTRIAL DR, ALTON, IL 62002-5939
(618) 917-4475
Mailing address
26693 SPRUCE CT, GODFREY, IL 62035-3671
(618) 917-4475
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011617
IL
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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