Individual
JODI CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2362 WASHINGTON RD, WASHINGTON, IL 61571-1855
(309) 745-8612
(309) 745-3145
Mailing address
2362 WASHINGTON RD, WASHINGTON, IL 61571-1855
(309) 745-8612
(309) 745-3145
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
227.009017
IL
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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