Individual
KASEY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S VICKSBURG ST STE B, MARION, IL 62959-1930
(618) 992-2322
Mailing address
103 E GOODALL ST APT B, MARION, IL 62959-3016
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022769
IL
225700000X
Massage Therapist
227022769
IL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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