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Nathan Daniel Brown, LMT

Massage Therapist in Champaign, IL. Individual provider (NPI-1).

NPI number1104530443
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1104530443
Entity type
Individual (NPI-1)
Name
Nathan Daniel Brown
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 11, 2023
Certification date
Jan 11, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist227.022771ILYes

Practice location

2505 Waterbury Pl
Champaign, IL 61822-6253

Phone 217-552-9115

Mailing address

2505 Waterbury Pl
Champaign, IL 61822-6253

Phone 217-552-9115

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