Individual
AMANDA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28 N AYER ST STE 3, HARVARD, IL 60033-2804
(779) 537-6233
Mailing address
145 N 5TH ST, CAPRON, IL 61012-7726
(779) 537-6233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022866
IL
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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