Individual provider · Type 1 NPI
Melissa Easley, LMT/CMMP/CNA
Massage Therapist · Canton, IL
NPI number
1396159844
Active
Practice location
25 White Ct
Canton, IL 61520-2626
Mailing address
714 N 9th Ave
Canton, IL 61520-1435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227003112 (IL) |
| Nurse's Aide | 376K00000X | None listed |
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.
About NPI 1396159844
Melissa Easley, LMT/CMMP/CNA's National Provider Identifier is 1396159844, issued on Jun 12, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Canton, IL. The record was last updated on Jun 12, 2014.