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Royce Micheal Daugherty, LMT,MMP
Massage Therapist in Evanston, Illinois
NPI 1316424245

Royce Micheal Daugherty is a Massage Therapist based in Evanston, IL. Royce Micheal Daugherty practices in Evanston, IL and has the professional credentials of LMT,MMP. The NPI Number for Royce Micheal Daugherty is 1316424245 and holds a License No. 227010167 (Illinois).

The current practice location address for Royce Micheal Daugherty is 703 Dodge Ave Apt 2N, Evanston, IL and can be reached out via phone at 773-289-6212. You can also correspond with Royce Micheal Daugherty through the mailing address at 703 DODGE AVE APT 2N, EVANSTON, IL - 60202-1975 (mailing address contact number: 773-289-6212).

Location: 703 Dodge Ave Apt 2N, Evanston, IL, 60202-1975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316424245
Provider Name
Royce Micheal Daugherty
Credential
LMT,MMP
Provider Entity Type
Individual
Gender
Female
Address
703 Dodge Ave Apt 2N, Evanston, IL, 60202-1975
Phone Number
773-289-6212
Fax Number
Provider Enumeration Date
07/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 Dodge Ave Apt 2N
City
Evanston
State
Illinois
Zip
60202-1975
Phone Number
773-289-6212
Fax Number
person
Provider Business Mailing Address Details
Address
703 Dodge Ave Apt 2N
City
Evanston
State
Illinois
Zip
60202-1975
Phone Number
773-289-6212
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227010167 (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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