NPI 1265982391

Davonia Carolann Dirr, LMT

Practitioner Massage Therapist Carol Stream, IL

Practice location

Address: 640 E Saint Charles Rd 104, Carol Stream, IL 60188-3083
Phone: (630) 460-3431
Mailing address: 77 Vantroba Dr, Glendale Heights, IL 60139-2710

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.010208 (IL)

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Registry record

NPI: 1265982391
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2016
Record last updated: 13 Oct 2016

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.