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Contact Information

CANDACE P GARDNER, LMT
960 DIECKMAN ST
WOODSTOCK, IL60098-9287
 Phone: 815-404-1185
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for CANDACE P GARDNER · (Female)

NPI Number 1194134072
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 08/05/2014
Last updated 09/12/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 198001435
  • IL License # 227.016782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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