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Mr. Terry Lee Craddock, LMT,LPN
Massage Therapist in Farmer City, Illinois
NPI 1164605549

Terry Lee Craddock is a Massage Therapist based in Farmer City, IL. Terry Lee Craddock practices in Farmer City, IL and has the professional credentials of LMT,LPN. The NPI Number for Terry Lee Craddock is 1164605549 and holds a License No. (Illinois).

The current practice location address for Terry Lee Craddock is 120 S Main St, Farmer City, IL and can be reached out via phone at 309-824-4373.

Location: 120 S Main St, Farmer City, IL, 61842-1454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164605549
Provider Name
Terry Lee Craddock
Credential
LMT,LPN
Provider Entity Type
Individual
Gender
Male
Address
120 S Main St, Farmer City, IL, 61842-1454
Phone Number
309-824-4373
Fax Number
Provider Enumeration Date
12/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 S Main St
City
Farmer City
State
Illinois
Zip
61842-1454
Phone Number
309-824-4373
Fax Number
person
Provider Business Mailing Address Details
Address
120 S Main St
City
Farmer City
State
Illinois
Zip
61842-1454
Phone Number
309-824-4373
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(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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