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Ms. Haveliah Stark, LMT
Massage Therapist in Charleston, Illinois
NPI 1104377944

Haveliah Stark is a Massage Therapist based in Charleston, IL. Haveliah Stark practices in Charleston, IL and has the professional credentials of LMT. The NPI Number for Haveliah Stark is 1104377944 and holds a License No. 227.012934 (Illinois).

The current practice location address for Haveliah Stark is 2115 18Th St, Charleston, IL and can be reached out via phone at 217-345-4065.

Location: 2115 18Th St, Charleston, IL, 61920-3509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104377944
Provider Name
Haveliah Stark
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2115 18Th St, Charleston, IL, 61920-3509
Phone Number
217-345-4065
Fax Number
Provider Enumeration Date
10/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2115 18Th St
City
Charleston
State
Illinois
Zip
61920-4338
Phone Number
217-345-4065
Fax Number
person
Provider Business Mailing Address Details
Address
2115 18Th St
City
Charleston
State
Illinois
Zip
61920-4338
Phone Number
217-345-4065
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.012934 (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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