Individual
DEBORAH POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12165 REGENCY PKWY, HUNTLEY, IL 60142-7644
(847) 515-2655
Mailing address
211 S CHANNING ST, APT 1, ELGIN, IL 60120-6618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009089
IL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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