MRS. Denise Lynn Cannon, LMT

NPI #1376320234 in Bradley, Illinois

Provider Information

NPI Number: 1376320234
Entity Type: Individual
Name: MRS. Denise Lynn Cannon, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 13, 2023
Last Updated: Sep 13, 2023

Practice Location

Address: RIVER VALLEY PHYSICAL THERAPY
Address 2: 535 E. NORTH STREET, SUITE C
City: Bradley
State: Illinois
ZIP Code: 60915
Phone: (815) 802-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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