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Contact Information

ANGIE N SUTHERLAND, LMT, CMMP
1806 N. MARKET STREET
CHAMPAIGN, IL61822
 Phone: 217-650-9362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for ANGIE N SUTHERLAND · (Female)

NPI Number 1851963441
Status Active
Credentials LMT, CMMP
Entity Individual
Enumeration date 07/13/2021
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # IL227.020137
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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