NPI 1265033286

Corey Dillow, LACLMT

Practitioner Acupuncturist Mandeville, LA

Practice location

Address: 200 Greenleaves Blvd STE 11, Mandeville, LA 70448-7092
Phone: (630) 930-4035
Mailing address: 236 Calumet Dr, Madisonville, LA 70447-9110

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 323918 (LA)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA9196 (LA)

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Registry record

NPI: 1265033286
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2020
Record last updated: 5 Nov 2020

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.