Spiller, Latanya Rene
Spiller, Latanya Rene is an sole proprietor health care provider with primary practice located at 2422 E Washington St #105, Bloomington IL 61704. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Spiller, Latanya Rene can be contacted via phone (309) 662-3905.Contact Information
Primary practice address
2422 E Washington St #105
Bloomington IL 61704
Phone: (309) 662-3905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 277017151 | Illinois |
Profile Details
| NPI number | 1174108906 |
|---|---|
| LBN Legal business name | Spiller, Latanya Rene |
| Credentials | MMP, LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2021 |
| Last updated | Mar 12th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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