Individual
MARIAH BRADLEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 W ALTORFER DR STE A, PEORIA, IL 61615-1867
(309) 693-8448
Mailing address
2627 W ALTORFER DR STE A, PEORIA, IL 61615-1867
(309) 678-7217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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