Whalio Doctors

NPI 1346818499

Sue Therese Smith, NCBTMB

Practitioner Massage Therapist Decatur, IL

Practice location

Address
45 S Side Country Clb, Decatur, IL 62521-9126
Phone
(217) 433-0916

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.000478 (IL)

Registry record

NPI
1346818499
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Jun 2021
Record last updated
15 Jun 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.