Individual
MS. JUDI LYNN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, BCTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23196
CA
225700000X
Massage Therapist
823935
IL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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