ROYCE MICHEAL DAUGHERTY LMT MMP NPI 1316424245

NPI Information

NPI: 1316424245
Provider Name: ROYCE MICHEAL DAUGHERTY, LMT, MMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
703 DODGE AVE APT 2N
EVANSTON, IL
ZIP 60202
Phone: (773) 289-6212
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Royce Micheal Daugherty, LMT, MMP is a massage therapist in Evanston, IL. The provider is 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. Royce Micheal Daugherty, LMT, MMP NPI is 1316424245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

703 DODGE AVE APT 2N
EVANSTON, IL
ZIP 60202-975
Phone: (773) 289-6212

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		227010167	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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