Individual
STACEY WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W DAYTONA DR, PEORIA, IL 61614-4107
(309) 265-7403
Mailing address
1505 W DAYTONA DR, PEORIA, IL 61614-4107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014116
IL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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