Individual
MS. TAYLOR YEATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 S KENNEDY DR, BRADLEY, IL 60915-2069
(815) 644-4290
Mailing address
123 S KENNEDY DR, BRADLEY, IL 60915-2069
(815) 644-4290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022251
IL
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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