Individual
ELIZABETH INBODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
11218 N 200TH ST, OBLONG, IL 62449-2816
(618) 553-4391
Mailing address
5192 N 400TH ST, OBLONG, IL 62449-3926
(618) 553-4391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.021861
IL
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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