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Sue Therese Smith, NCBTMB
Massage Therapist in Decatur, Illinois
NPI 1346818499

Sue Therese Smith is a Massage Therapist based in Decatur, IL. Sue Therese Smith practices in Decatur, IL and has the professional credentials of NCBTMB. The NPI Number for Sue Therese Smith is 1346818499 and holds a License No. 227.000478 (Illinois).

The current practice location address for Sue Therese Smith is 45 S Side Country Clb, Decatur, IL and can be reached out via phone at 217-433-0916. You can also correspond with Sue Therese Smith through the mailing address at 45 S SIDE COUNTRY CLB, DECATUR, IL - 62521-9126 (mailing address contact number: 217-433-0916).

Location: 45 S Side Country Clb, Decatur, IL, 62521-9126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346818499
Provider Name
Sue Therese Smith
Credential
NCBTMB
Provider Entity Type
Individual
Gender
Female
Address
45 S Side Country Clb, Decatur, IL, 62521-9126
Phone Number
217-433-0916
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
45 S Side Country Clb
City
Decatur
State
Illinois
Zip
62521-9126
Phone Number
217-433-0916
Fax Number
person
Provider Business Mailing Address Details
Address
45 S Side Country Clb
City
Decatur
State
Illinois
Zip
62521-9126
Phone Number
217-433-0916
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.000478 (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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