Individual provider · Type 1 NPI
Jacqueline Stocks-Rust, LMT
Massage Therapist · Manhattan, IL
NPI number
1891319984
Active
Practice location
150 Market Pl
Manhattan, IL 60442-9124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227018217 (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.
About NPI 1891319984
Jacqueline Stocks-Rust, LMT's National Provider Identifier is 1891319984, issued on Jun 3, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Manhattan, IL. The record was last updated on Jun 3, 2020.