Individual
LINDA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
334 HILLANDALE ST, ROUND LAKE, IL 60073-3318
(224) 406-0480
Mailing address
334 HILLANDALE ST, ROUND LAKE, IL 60073-3318
(224) 406-0480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-006702
IL
Other
Enumeration date
08/06/2014
Last updated
06/25/2015
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