Melissa Easley, LMT/CMMP/CNA

NPI #1396159844 in Canton, Illinois

Provider Information

NPI Number: 1396159844
Entity Type: Individual
Name: Melissa Easley, LMT/CMMP/CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT/CMMP/CNA
Enumeration Date: Jun 12, 2014
Last Updated: Jun 12, 2014

Practice Location

Address: 25 WHITE CT
City: Canton
State: Illinois
ZIP Code: 61520-2626
Phone: (309) 338-3953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary
Nurse's Aide	376K00000X

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