Jessica Ainsworth Black, LMT - Carbondale, IL

Jessica Ainsworth Black, LMT

Massage Therapist in Carbondale, Illinois

NPI 1447014139

Jessica Ainsworth Black is a Massage Therapist based in Makanda, IL. Jessica Ainsworth Black practices in Carbondale, IL and has the professional credentials of LMT. The NPI Number for Jessica Ainsworth Black is 1447014139 and holds a License No. 227.013773 (Illinois).

The current practice location address for Jessica Ainsworth Black is 2031 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-457-7732.

Location: 2031 S Illinois Ave, Carbondale, IL, 62958-2639

NPI Number

1447014139

Provider Name

Jessica Ainsworth Black

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

2031 S Illinois Ave, Carbondale, IL, 62958-2639

Phone Number

618-457-7732

Fax Number

Provider Enumeration Date

02/12/2024

Last Update Date

03/13/2024

Address

2031 S Illinois Ave

City

Carbondale

State

Illinois

Zip

62903-5909

Phone Number

618-457-7732

Fax Number

Address

2031 S Illinois Ave

City

Carbondale

State

Illinois

Zip

62903-5909

Phone Number

618-457-7732

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

227.013773 (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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