Individual
JACQUELINE STOCKS-RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 MARKET PL, MANHATTAN, IL 60442-9124
(850) 462-4902
Mailing address
150 MARKET PL, MANHATTAN, IL 60442-9124
(850) 462-4902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227018217
IL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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