Jaclyn Davis, LMT

NPI #1285937656 in Assumption, Illinois

Provider Information

NPI Number: 1285937656
Entity Type: Individual
Name: Jaclyn Davis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 7, 2010
Last Updated: Dec 7, 2010

Practice Location

Address: 127 N CHESTNUT ST
City: Assumption
State: Illinois
ZIP Code: 62510-1003
Phone: (217) 226-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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