person
Lisa Labotte
Massage Therapist in Marion, Illinois
NPI 1053709519

Lisa Labotte is a Massage Therapist based in Marion, IL. Lisa Labotte practices in Marion, IL. The NPI Number for Lisa Labotte is 1053709519 and holds a License No. 227.006986 (Illinois).

The current practice location address for Lisa Labotte is 900 W White St, Marion, IL and can be reached out via phone at 618-889-3220 and via fax at 618-969-7174.

Location: 900 W White St, Marion, IL, 62959-1855
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Provider Profile Details
NPI Number
1053709519
Provider Name
Lisa Labotte
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 W White St, Marion, IL, 62959-1855
Phone Number
618-889-3220
Fax Number
618-969-7174
Provider Enumeration Date
01/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
227.006986 01 IL ILLINOIS DEPARTMENT OF FEDERAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
900 W White St
City
State
Zip
62959-1855
Phone Number
618-889-3220
Fax Number
618-969-7174
person
Provider Business Mailing Address Details
Address
900 W White St
City
State
Zip
62959-1855
Phone Number
618-889-3220
Fax Number
618-969-7174
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
227.006986 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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