Individual
SHARON BLACKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3329 VOLLMER RD, FLOSSMOOR, IL 60422-2003
(708) 206-2750
Mailing address
457 MOUNT ST, GARY, IN 46406-1615
(219) 944-1948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.008299
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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