Individual
PENELOPE L WINKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2415 E WASHINGTON ST STE F, BLOOMINGTON, IL 61704-1609
(309) 706-7040
Mailing address
25871 N 1475 EAST RD, HUDSON, IL 61748-9378
(309) 706-7040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.023255
IL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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