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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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