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Kelly Lynn Stiles, LMT

Specialist in Streator, IL. Individual provider (NPI-1).

NPI number1851552012
StatusActive
Last updated in NPPESJun 20, 2008

Details

NPI
1851552012
Entity type
Individual (NPI-1)
Name
Mrs. Kelly Lynn Stiles
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2008
Last updated
Jun 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist227.008317ILYes

Practice location

1410 E Main St
Streator, IL 61364-3147

Phone 815-830-6918

Mailing address

4108 Main St
Streator, IL 61364-9667

Phone 815-830-6918

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