Individual provider · Type 1 NPI

Denise Lynn Cannon, LMT

Massage Therapist · Bradley, IL

NPI number 1376320234 Active

Practice location

River Valley Physical Therapy, 535 E. North Street, Suite C
Bradley, IL 60915

Mailing address

147 S Forest Ave
Bradley, IL 60915-2027

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.000129 (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 1376320234

Denise Lynn Cannon, LMT's National Provider Identifier is 1376320234, issued on Sep 13, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bradley, IL. The record was last updated on Sep 13, 2023.