Individual
AMANDA WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
203 E MAIN ST, GREENVILLE, IL 62246-1810
(618) 339-3614
Mailing address
1520 WILLOW ST, GREENVILLE, IL 62246-1376
(618) 339-3614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021470
IL
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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