Individual provider · Type 1 NPI
Kelly Lynn Stiles, LMT
Specialist · Streator, IL
NPI number
1851552012
Active
Practice location
1410 E Main St
Streator, IL 61364-3147
Mailing address
4108 Main St
Streator, IL 61364-9667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 227.008317 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1851552012
Kelly Lynn Stiles, LMT's National Provider Identifier is 1851552012, issued on Jun 20, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Streator, IL. The record was last updated on Jun 20, 2008.