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Susan Michele Ray, LMT

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

NPI number1124530282
StatusActive
Last updated in NPPESOct 30, 2017

Details

NPI
1124530282
Entity type
Individual (NPI-1)
Name
Susan Michele Ray
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 30, 2017
Last updated
Oct 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist227016138ILYes

Practice location

2106 W Springfield Ave Ste E
Champaign, IL 61821-2979

Phone 217-819-2155

Mailing address

2106 W Springfield Ave Ste E
Champaign, IL 61821-2979

Phone 217-819-2155

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