MR. Terry Lee Craddock, L.M.T, L.P.N.
NPI #1164605549 in Farmer City, Illinois
Provider Information
- NPI Number
- 1164605549
- Entity Type
- Individual
- Name
- MR. Terry Lee Craddock, L.M.T, L.P.N.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- L.M.T, L.P.N.
- Enumeration Date
- Dec 9, 2007
- Last Updated
- Jan 10, 2008
Practice Location
- Address
- 120 S MAIN ST
- City
- Farmer City
- State
- Illinois
- ZIP Code
- 61842-1454
- Phone
- (309) 824-4373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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