Individual provider · Type 1 NPI

Destine Nicole Haley, LMT

Massage Therapist · Richmond, IL

NPI number 1053913848 Active

Practice location

170 Cunat Blvd Apt 3D
Richmond, IL 60071-8964

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.021923 (IL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1053913848

Destine Nicole Haley, LMT's National Provider Identifier is 1053913848, issued on Nov 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond, IL. The record was last updated on Nov 16, 2020.