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Mrs. Lola Herndon
Massage Therapist in Belleville, Illinois
NPI 1497354104

Lola Herndon is a Massage Therapist based in Belleville, IL. Lola Herndon practices in Belleville, IL. The NPI Number for Lola Herndon is 1497354104 and holds a License No. 2014031513 (Illinois).

The current practice location address for Lola Herndon is 844 Wilshire Dr, Belleville, IL and can be reached out via phone at 314-380-4202. You can also correspond with Lola Herndon through the mailing address at 844 WILSHIRE DR, BELLEVILLE, IL - 62223-2623 (mailing address contact number: 314-380-4202).

Location: 844 Wilshire Dr, Belleville, IL, 62223-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497354104
Provider Name
Lola Herndon
Credential
Provider Entity Type
Individual
Gender
Female
Address
844 Wilshire Dr, Belleville, IL, 62223-2623
Phone Number
314-380-4202
Fax Number
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
844 Wilshire Dr
City
Belleville
State
Illinois
Zip
62223-2623
Phone Number
314-380-4202
Fax Number
person
Provider Business Mailing Address Details
Address
844 Wilshire Dr
City
Belleville
State
Illinois
Zip
62223-2623
Phone Number
314-380-4202
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
2014031513 (Missouri)
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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