Ilene Simone Embrack, LMT

NPI #1992935654 in Springfield, Ohio

Provider Information

NPI Number: 1992935654
Entity Type: Individual
Name: Ilene Simone Embrack, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Jul 16, 2009
Last Updated: Feb 24, 2015

Practice Location

Address: 7585 WRENVIEW DR
City: Springfield
State: Ohio
ZIP Code: 45502-8412
Phone: (937) 831-6555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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