Individual
CASEY BESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 N MAIN ST APT 601, ROCKFORD, IL 61103-7058
(331) 401-4701
Mailing address
913 N MAIN ST APT 601, ROCKFORD, IL 61103-7058
(331) 401-4701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022588
IL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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