NPI 1043802820

Jessica Evans

Practitioner Massage Therapist Arthur, IL

Practice location

Address: 2046 Jonathan Creek Rd, Arthur, IL 61911-6108
Phone: (217) 962-0614

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227015675 (IL)

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Registry record

NPI: 1043802820
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2021
Record last updated: 3 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.