Inner Health Spa LLC

NPI #1982432126 in Springfield, Illinois

Provider Information

NPI Number: 1982432126
Entity Type: Organization
Organization Name: Inner Health Spa LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 1733 S 5TH ST
City: Springfield
State: Illinois
ZIP Code: 62703-3116
Phone: (217) 572-1611

Authorized Official

Name: MICHELLE ANN BULLOCK, LMT
Title: OWNER/MASSAGE THERAPIST
Phone: (217) 572-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Reflexologist	173C00000X
Massage Therapist	225700000X	Primary

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