Individual
JOYCE D. LIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 STAHLHUT DR, LINCOLN, IL 62656-5059
(217) 735-9555
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013375
IL
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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