Individual provider · Type 1 NPI

Latanya Rene Spiller, MMP, LMT

Massage Therapist · Bloomington, IL

NPI number 1174108906 Active

Practice location

2422 E Washington St, #105
Bloomington, IL 61704

Call (309) 662-3905 Map

Mailing address

211 Saratoga Rd
Normal, IL 61761

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X277017151 (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 1174108906

Latanya Rene Spiller, MMP, LMT's National Provider Identifier is 1174108906, issued on Mar 12, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 12, 2021.