| NPI | 1730932948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA SWENGEL Director 217-433-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 171400000X | |
| 173C00000X Reflexologist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |