MRS. Chantalle Ullett, LMT

NPI #1437434701 in Mchenry, Illinois

Provider Information

NPI Number: 1437434701
Entity Type: Individual
Name: MRS. Chantalle Ullett, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 18, 2011
Last Updated: Oct 18, 2011

Practice Location

Address: 3210 SUNRISE VIEW ST
City: Mchenry
State: Illinois
ZIP Code: 60050-8261
Phone: (815) 403-9106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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