Individual provider · Type 1 NPI

Royce Micheal Daugherty, LMT, MMP

Massage Therapist · Evanston, IL

NPI number 1316424245 Active

Practice location

703 Dodge Ave Apt 2N
Evanston, IL 60202-1975

Call (773) 289-6212 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227010167 (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 1316424245

Royce Micheal Daugherty, LMT, MMP's National Provider Identifier is 1316424245, issued on Jul 24, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Evanston, IL. The record was last updated on Jul 24, 2018.