Organization
INNER HEALTH SPA LLC
Active
Organization
INNER HEALTH SPA LLC
Active
Other names
Inner Health Spa LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN BULLOCK LMT (OWNER/MASSAGE THERAPIST)
(217) 572-1611
Entity
Organization
Contact information
Practice address
1733 S 5TH ST, SPRINGFIELD, IL 62703-3116
(217) 572-1611
Mailing address
1733 S 5TH ST, SPRINGFIELD, IL 62703-3116
(217) 572-1611
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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