Individual
MR. ROBERT YARDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1325 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 532-8861
Mailing address
1307 E MCCORD ST, CENTRALIA, IL 62801-3610
(618) 532-8861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017525
IL
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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