Individual
AMBER BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 N LINCOLN AVE, URBANA, IL 61801-1023
(217) 337-4313
(217) 337-1914
Mailing address
1804 N LINCOLN AVE, URBANA, IL 61801-1023
(217) 337-4313
(217) 337-1914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227006897
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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