Individual provider · Type 1 NPI

Carla Jean Vandenburgh, MASSAGE THERAPIST

Massage Therapist · Belleville, IL

NPI number 1124368683 Active

Practice location

1600 Lebanon Ave Ste 101
Belleville, IL 62221-2491

Call (618) 978-7407 Map

Mailing address

3212 Hunters Way
Belleville, IL 62221-3471

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X217.011790 (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 1124368683

Carla Jean Vandenburgh, MASSAGE THERAPIST's National Provider Identifier is 1124368683, issued on Feb 20, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Belleville, IL. The record was last updated on Feb 20, 2013.