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Ms. Destine Nicole Haley, LMT
Massage Therapist in Richmond, Illinois
NPI 1053913848

Destine Nicole Haley is a Massage Therapist based in Richmond, IL. Destine Nicole Haley practices in Richmond, IL and has the professional credentials of LMT. The NPI Number for Destine Nicole Haley is 1053913848 and holds a License No. 227.021923 (Illinois).

The current practice location address for Destine Nicole Haley is 170 Cunat Blvd Apt 3D, Richmond, IL and can be reached out via phone at 228-343-9641.

Location: 170 Cunat Blvd Apt 3D, Richmond, IL, 60071-8964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053913848
Provider Name
Destine Nicole Haley
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
170 Cunat Blvd Apt 3D, Richmond, IL, 60071-8964
Phone Number
228-343-9641
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 Cunat Blvd Apt 3D
City
Richmond
State
Illinois
Zip
60071-8964
Phone Number
228-343-9641
Fax Number
person
Provider Business Mailing Address Details
Address
170 Cunat Blvd Apt 3D
City
Richmond
State
Illinois
Zip
60071-8964
Phone Number
228-343-9641
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.021923 (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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