Individual
RICHARD SCOTT HALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1043 WENONAH, OAK PARK, IL 60304
(708) 386-7415
Mailing address
1043 WENONAH, OAK PARK, IL 60304
(708) 386-7415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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