MR. ROBERT YARDLEY LMT
NPI 1770021214
Massage Therapist in Centralia, IL
Active since February 04, 2017
About Mr. Robert Yardley Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROBERT YARDLEY LMT (NPI 1770021214) is an individual massage therapist in Centralia, Illinois, licensed in Illinois (227017525) and active in the NPI registry since February 2017.
NPPES Registry Identity
NPI1770021214
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. ROBERT YARDLEYCredential: LMT
Location Address1325 E MCCORD STCentralia, IL 62801-3610
Mailing Address1307 E Mccord StCentralia, IL 62801-3610 · (618) 532-8861
Phone(618) 532-8861
Sole ProprietorNo
Enumeration DateFebruary 4, 2017
✔ NPI 1770021214 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IL · 227017525
Definition
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.
1325 E MCCORD ST, Centralia, IL 62801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770021214, enumerated as an "individual" on February 04, 2017.
The provider is located at 1325 E MCCORD ST CENTRALIA, IL 62801 and the phone number is (618) 532-8861.
Massage Therapist with taxonomy code 225700000X.
