Organization
GREATER PEORIA PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL COLLIER (LMT)
(309) 693-2225
Entity
Organization
Contact information
Practice address
5001 N UNIVERSITY ST, PEORIA, IL 61614-4799
(309) 693-2225
Mailing address
5001 N UNIVERSITY ST, PEORIA, IL 61614-4799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.007402
IL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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