DENISE L CANNON, LMT, Massage Therapist BRADLEY, IL

Contact Information

DENISE L CANNON, LMT

RIVER VALLEY PHYSICAL THERAPY
535 E. NORTH STREET, SUITE C
BRADLEY, IL 60915

Phone: 815-802-7503
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Massage Therapist	225700000X

Indicates primary specialty

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NPI Profile & details for DENISE L CANNON · (Female)

NPI #	`1376320234`
Status	Active
Credentials	LMT (Licensed Massage Therapist)
Entity	Individual
Enumeration date	09/13/2023
Last updated	09/13/2023 - About 3 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 227.000129
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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DENISE L CANNON, LMT – NPI #1376320234Massage Therapist

Contact Information

Specialty

Massage Therapist

NPI Profile & details for DENISE L CANNON · (Female)

Reviews for DENISE L CANNON

DENISE L CANNON, LMT – NPI #1376320234
Massage Therapist