Individual
MRS. STEFANIE RENEE SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5428 WILLIAMS DR, ROSCOE, IL 61073-7318
(779) 200-5802
Mailing address
11772 HAYLOFT LN, ROSCOE, IL 61073-8955
(619) 399-6006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011717
IL
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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